HALEY L BOSWICK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****60

License Status

NOT RENEWED

Business

Title

First Name

HALEY

Middle

Last Name

BOSWICK

Business Name

HALEY L BOSWICK OD

Original Issue Date

05/31/2019

Effective Date

01/14/2020

Expiration Date

05/31/2022

City

NORRIDGE

State

Zip

60706

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022