RESHMA DHAVAL ADHVARYU OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929007

License Status

NOT RENEWED

Business

First Name

RESHMA

Middle

DHAVAL

Last Name

ADHVARYU

Suffix

Business Name

RESHMA DHAVAL ADHVARYU OD

Original Issue Date

09/25/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005