DAVID RAY HAISMAN OD - Optometrist License in Illinois | # 047932694

DAVID RAY HAISMAN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932694

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

11/30/2006

Effective Date

11/30/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008