KHYATI MODI AMIN OD - Optometrist License in Illinois | # 047931291

KHYATI MODI AMIN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931291

License Status

NOT RENEWED

Business

N

First Name

KHYATI

Middle

MODI

Last Name

AMIN

Suffix

OD

Business Name

KHYATI MODI AMIN OD

Original Issue Date

07/25/2005

Effective Date

07/25/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006