FORUM PURNENDU DAVE Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010886

License Status

ACTIVE

Business

First Name

FORUM

Middle

PURNENDU

Last Name

DAVE

Business Name

FORUM PURNENDU DAVE

Original Issue Date

06/24/2015

Effective Date

03/20/2026

Expiration Date

03/31/2028

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2026