DIANA L HASKINS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018855

License Status

NOT RENEWED

Business

First Name

DIANA L

Last Name

HASKINS

Suffix

Business Name

DIANA L HASKINS OD

Original Issue Date

03/21/1996

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005