GERRY P HAINES Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206134

License Status

NOT RENEWED

Business

First Name

GERRY P

Last Name

HAINES

Business Name

GERRY P HAINES

Original Issue Date

07/17/1980

Expiration Date

05/01/1982

City

LENA

State

Zip

61048

County

STEPHENSON

Ever Disciplined

LastModifiedDate

09/01/2005