PATRICIA ANN HART 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

PATRICIA

Middle

ANN

Last Name

HART

Suffix

Business Name

PATRICIA ANN HART OD

Original Issue Date

10/17/1996

Effective Date

05/30/2022

Expiration Date

03/31/2024

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025