ALICE S HANES OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****50

License Status

NOT RENEWED

Business

First Name

ALICE

Middle

Last Name

HANES

Suffix

Business Name

ALICE S HANES OD

Original Issue Date

02/14/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

FORSYTH

State

Zip

62535

County

MACON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005