MARK DOUGLAS HAHN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927313

License Status

CANCELLED

Business

First Name

MARK

Middle

DOUGLAS

Last Name

HAHN

Suffix

Business Name

MARK DOUGLAS HAHN OD

Original Issue Date

08/09/2000

Effective Date

12/17/2009

Expiration Date

03/31/2010

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

05/04/2010