JACQUELINE MARTIN HARO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****69

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

MARTIN

Last Name

HARO

Suffix

Business Name

JACQUELINE MARTIN HARO OD

Original Issue Date

07/09/2008

Effective Date

07/09/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010