Randy D Ford Od
InactiveIllinois license 046008158
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 046008158
- Status
- Inactive
- First issued
- October 22, 1988
- Expired
- March 31, 2006
- License holder
- Randy D Ford Od
- Entity type
- Individual
Classifications
- Licensed Optometrist (Optometry) Vision & Hearing
More from the license record
- Current term began
- 03/25/2004
- Ever disciplined
- Yes
- Discipline case
- 1994001815
- Discipline action
- Fine
- Discipline reason
- Failed to have ancillary licensed for ten locations.
- Discipline dates
- 07/01/1995
- Discipline action
- Reprimand
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Contact
Fairview Heights, IL 62208
Saint Clair County