HEATHER MARIE COCKLAN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****38

License Status

CANCELLED

Business

First Name

HEATHER

Middle

MARIE

Last Name

COCKLAN

Business Name

HEATHER MARIE COCKLAN

Original Issue Date

11/30/2001

Effective Date

11/30/2001

Expiration Date

03/31/2002

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006