JAY SURESH DESAI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009095

License Status

NOT RENEWED

Business

First Name

JAY

Middle

SURESH

Last Name

DESAI

Suffix

Business Name

JAY SURESH DESAI OD

Original Issue Date

07/24/1998

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005