LISA ANN HAGER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****35

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

HAGER

Business Name

LISA ANN HAGER

Original Issue Date

05/10/2007

Effective Date

05/10/2007

Expiration Date

03/31/2008

City

CHESTER

State

Zip

62233

County

RANDOLPH

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/10/2008