LAWRENCE FUAD HADDAD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****85

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Middle

FUAD

Last Name

HADDAD

Suffix

Business Name

LAWRENCE FUAD HADDAD OD

Original Issue Date

06/21/2006

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

LANSING

State

Zip

60438

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021