HEIDI MARIE HAISLEY OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****35

License Status

ACTIVE

Business

Title

First Name

HEIDI

Middle

MARIE

Last Name

HAISLEY

Business Name

HEIDI MARIE HAISLEY OD

Original Issue Date

04/19/2018

Effective Date

01/18/2024

Expiration Date

03/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026