LAWRENCE FUAD HADDAD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931555

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Middle

FUAD

Last Name

HADDAD

Suffix

Business Name

LAWRENCE FUAD HADDAD OD

Original Issue Date

10/17/2005

Effective Date

10/17/2005

Expiration Date

03/31/2006

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006