ANDREW JOHN MULDER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935473

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

JOHN

Last Name

MULDER

Business Name

ANDREW JOHN MULDER OD

Original Issue Date

07/09/2009

Effective Date

07/09/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010