KHYATI MODI AMIN OD - Optometrist License in Illinois | # 047931532

KHYATI MODI AMIN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931532

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

09/30/2005

Effective Date

04/20/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008