TODD MICHAEL HUNGERFORD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****21

License Status

NOT RENEWED

Business

First Name

TODD

Middle

MICHAEL

Last Name

HUNGERFORD

Suffix

Business Name

TODD MICHAEL HUNGERFORD OD

Original Issue Date

06/04/1996

Effective Date

02/26/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018