THERESA ANN HAAS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930851

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

ANN

Last Name

HAAS

Suffix

Business Name

THERESA ANN HAAS OD

Original Issue Date

01/14/2005

Effective Date

01/14/2005

Expiration Date

03/31/2006

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

05/11/2006