SUBHASH N JANI OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930323

License Status

CANCELLED

Business

Title

First Name

SUBHASH

Middle

Last Name

JANI

Business Name

SUBHASH N JANI OD

Original Issue Date

06/22/2004

Effective Date

08/25/2008

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010