FERNANDO F MOSQUEDA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****58

License Status

NOT RENEWED

Business

First Name

FERNANDO F

Last Name

MOSQUEDA

Suffix

Business Name

FERNANDO F MOSQUEDA OD

Original Issue Date

10/20/1998

Effective Date

09/25/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/06/2014