JAY SURESH DESAI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****03

License Status

NOT RENEWED

Business

First Name

JAY

Middle

SURESH

Last Name

DESAI

Suffix

Business Name

JAY SURESH DESAI OD

Original Issue Date

02/05/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CARY

State

Zip

60013

County

MCHENRY

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005