DAVID RAY HAISMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009582

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

RAY

Last Name

HAISMAN

Suffix

Business Name

DAVID RAY HAISMAN OD

Original Issue Date

07/25/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010