MARK DOUGLAS HAHN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927519

License Status

NOT RENEWED

Business

First Name

MARK

Middle

DOUGLAS

Last Name

HAHN

Suffix

Business Name

MARK DOUGLAS HAHN OD

Original Issue Date

10/19/2000

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008