MARK DOUGLAS HAHN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927559

License Status

NOT RENEWED

Business

First Name

MARK

Middle

DOUGLAS

Last Name

HAHN

Suffix

Business Name

MARK DOUGLAS HAHN OD

Original Issue Date

11/06/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005