GREGORY WILLIAM HASTO Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****92

License Status

NOT RENEWED

Business

First Name

GREGORY WILLIAM

Last Name

HASTO

Business Name

GREGORY WILLIAM HASTO

Original Issue Date

08/15/1996

Effective Date

03/11/2004

Expiration Date

03/31/2006

City

ROUND LAKE

State

Zip

60073

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006