MARK ANTHONY HAVERA OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****12

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

ANTHONY

Last Name

HAVERA

Business Name

MARK ANTHONY HAVERA OD

Original Issue Date

06/28/2011

Effective Date

04/01/2024

Expiration Date

03/31/2026

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026