LEONARD BRUCE HARDESTY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006855

License Status

CANCELLED

Business

Title

First Name

LEONARD

Middle

BRUCE

Last Name

HARDESTY

Business Name

LEONARD BRUCE HARDESTY OD

Original Issue Date

12/28/1977

Expiration Date

05/01/1982

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005