JESSICA CHASE ISLAM - Optometrist License in Arizona | # 34*****63

JESSICA CHASE ISLAM

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****63

License Status

NOT RENEWED

Business

N

First Name

JESSICA

Middle

CHASE

Last Name

ISLAM

Business Name

JESSICA CHASE ISLAM

Original Issue Date

03/08/2022

Effective Date

03/08/2022

Expiration Date

03/31/2024

State

AZ

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

02/05/2025