LEONARD BRUCE HARDESTY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****02

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

02/13/2020

Expiration Date

05/31/2022

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022