SRINIVAS JAIRAM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925330

License Status

NOT RENEWED

Business

Title

First Name

SRINIVAS

Last Name

JAIRAM

Business Name

SRINIVAS JAIRAM OD

Original Issue Date

05/15/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

COAL CITY

State

Zip

60416

County

GRUNDY

Ever Disciplined

LastModifiedDate

09/11/2005