SRINIVAS JAIRAM OD - Optometrist License in Illinois | # 047106798

SRINIVAS JAIRAM OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106798

License Status

CANCELLED

Business

N

Title

OD

First Name

SRINIVAS

Last Name

JAIRAM

Business Name

SRINIVAS JAIRAM OD

Original Issue Date

11/03/1981

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010