DIANA L HASKINS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925295

License Status

NOT RENEWED

Business

First Name

DIANA L

Last Name

HASKINS

Suffix

Business Name

DIANA L HASKINS OD

Original Issue Date

04/14/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005