SUBHASH N JANI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006934

License Status

NOT RENEWED

Business

Title

First Name

SUBHASH

Middle

Last Name

JANI

Business Name

SUBHASH N JANI OD

Original Issue Date

12/24/1996

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005