GERRY P HAINES Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106134

License Status

CANCELLED

Business

First Name

GERRY P

Last Name

HAINES

Business Name

GERRY P HAINES

Original Issue Date

05/28/1975

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

LANARK

State

Zip

61046

County

CARROLL

Ever Disciplined

LastModifiedDate

01/10/2008