BIJAL R DESAI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010669

License Status

NOT RENEWED

Business

Title

First Name

BIJAL

Middle

Last Name

DESAI

Business Name

BIJAL R DESAI OD

Original Issue Date

06/07/2013

Effective Date

03/12/2014

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016