DIANA L HASKINS OD - Optometrist License in Michigan | # 34*****67

DIANA L HASKINS OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****67

License Status

NOT RENEWED

Business

N

First Name

DIANA L

Last Name

HASKINS

Suffix

OD

Business Name

DIANA L HASKINS OD

Original Issue Date

06/14/2006

Effective Date

01/04/2020

Expiration Date

05/31/2022

State

MI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

N

LastModifiedDate

07/27/2022