LEONARD BRUCE HARDESTY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****01

License Status

NOT RENEWED

Business

Title

First Name

LEONARD

Middle

BRUCE

Last Name

HARDESTY

Business Name

LEONARD BRUCE HARDESTY OD

Original Issue Date

04/04/1996

Effective Date

03/04/2014

Expiration Date

03/31/2016

City

WESTCHESTER

State

Zip

60154

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/20/2016