HALEY A MASCITTI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****61

License Status

NOT RENEWED

Business

First Name

HALEY

Middle

Last Name

MASCITTI

Suffix

Business Name

HALEY A MASCITTI OD

Original Issue Date

08/10/2012

Effective Date

02/25/2016

Expiration Date

03/31/2018

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018