SRINIVAS JAIRAM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006798

License Status

NOT RENEWED

Business

Title

First Name

SRINIVAS

Last Name

JAIRAM

Business Name

SRINIVAS JAIRAM OD

Original Issue Date

09/20/1977

Expiration Date

03/31/1990

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005