SAM M HAGE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004765

License Status

NOT RENEWED

Business

First Name

SAM M

Last Name

HAGE

Business Name

SAM M HAGE

Original Issue Date

06/06/1987

Expiration Date

03/31/1988

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/01/2005