RENUKA SIVANESAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010288

License Status

NOT RENEWED

Business

First Name

RENUKA

Last Name

SIVANESAN

Business Name

RENUKA SIVANESAN

Original Issue Date

07/15/2009

Effective Date

03/29/2012

Expiration Date

03/31/2014

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014