ANDREW JOHN MULDER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935568

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

JOHN

Last Name

MULDER

Business Name

ANDREW JOHN MULDER OD

Original Issue Date

08/01/2009

Effective Date

08/01/2009

Expiration Date

03/31/2010

City

NORRIDGE

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010