HAYLEY AMBER ADAMS 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

HAYLEY

Middle

AMBER

Last Name

ADAMS

Suffix

Business Name

HAYLEY AMBER ADAMS OD

Original Issue Date

08/04/2003

Effective Date

03/08/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006