NEELUM HAQQANI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****14

License Status

NOT RENEWED

Business

First Name

NEELUM

Last Name

HAQQANI

Suffix

Business Name

NEELUM HAQQANI OD

Original Issue Date

06/30/2010

Effective Date

06/30/2010

Expiration Date

03/31/2012

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

05/16/2012