NISHA B JANI-KONDURI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929031

License Status

NOT RENEWED

Business

First Name

NISHA

Middle

Last Name

JANI-KONDURI

Business Name

NISHA B JANI-KONDURI

Original Issue Date

10/08/2002

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008