NANCY L HETLAND OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****28

License Status

CANCELLED

Business

First Name

NANCY

Middle

Last Name

HETLAND

Suffix

Business Name

NANCY L HETLAND OD

Original Issue Date

11/15/2001

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/10/2008