MARK A HARDACRE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****53

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

HARDACRE

Business Name

MARK A HARDACRE

Original Issue Date

09/11/1996

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008