THOMAS E HINES Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****65

License Status

NOT RENEWED

Business

First Name

THOMAS E

Last Name

HINES

Business Name

THOMAS E HINES

Original Issue Date

09/10/2002

Effective Date

03/17/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60629

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012