FERNANDO F MOSQUEDA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933900

License Status

CANCELLED

Business

First Name

FERNANDO F

Last Name

MOSQUEDA

Suffix

Business Name

FERNANDO F MOSQUEDA OD

Original Issue Date

03/20/2008

Effective Date

03/20/2008

Expiration Date

03/31/2010

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010