MARK DOUGLAS HAHN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928301

License Status

NOT RENEWED

Business

First Name

MARK

Middle

DOUGLAS

Last Name

HAHN

Suffix

Business Name

MARK DOUGLAS HAHN OD

Original Issue Date

11/15/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/11/2005