KENT A HAEFS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008737

License Status

NOT RENEWED

Business

First Name

KENT A

Last Name

HAEFS

Suffix

Business Name

KENT A HAEFS OD

Original Issue Date

11/21/1995

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005