SUBHASH N JANI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931104

License Status

NOT RENEWED

Business

Title

First Name

SUBHASH

Middle

Last Name

JANI

Business Name

SUBHASH N JANI OD

Original Issue Date

04/20/2005

Effective Date

04/20/2005

Expiration Date

03/31/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/11/2006