SUBHASH N JANI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929261

License Status

NOT RENEWED

Business

Title

First Name

SUBHASH

Middle

Last Name

JANI

Business Name

SUBHASH N JANI OD

Original Issue Date

01/30/2003

Effective Date

04/20/2005

Expiration Date

03/31/2006

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006