DAVID RAY HAISMAN OD - Optometrist License in Illinois | # 047929975

DAVID RAY HAISMAN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929975

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

RAY

Last Name

HAISMAN

Suffix

OD

Business Name

DAVID RAY HAISMAN OD

Original Issue Date

02/13/2004

Effective Date

02/13/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006