DIANA L HASKINS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008855

License Status

NOT RENEWED

Business

First Name

DIANA L

Last Name

HASKINS

Suffix

Business Name

DIANA L HASKINS OD

Original Issue Date

09/19/1995

Effective Date

01/04/2020

Expiration Date

05/31/2022

City

ST JOSEPH

State

Zip

49085

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022