NISHA B JANI-KONDURI Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926970

License Status

CANCELLED

Business

First Name

NISHA

Middle

Last Name

JANI-KONDURI

Business Name

NISHA B JANI-KONDURI

Original Issue Date

04/17/2000

Effective Date

12/11/2002

Expiration Date

03/31/2004

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005