GERRY P HAINES Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006134

License Status

CANCELLED

Business

First Name

GERRY P

Last Name

HAINES

Business Name

GERRY P HAINES

Expiration Date

01/01/1997

City

LANARK

State

Zip

61046

County

CARROLL

Ever Disciplined

LastModifiedDate

09/01/2005