DAVID RAY HAISMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932694

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

RAY

Last Name

HAISMAN

Suffix

Business Name

DAVID RAY HAISMAN OD

Original Issue Date

11/30/2006

Effective Date

11/30/2006

Expiration Date

03/31/2008

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/02/2008