MIGUEL A GONZALEZ OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934709

License Status

CANCELLED

Business

First Name

MIGUEL

Middle

Last Name

GONZALEZ

Suffix

Business Name

MIGUEL A GONZALEZ OD

Original Issue Date

10/05/2008

Effective Date

10/05/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010