TAISIYA GRILLI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****07

License Status

NOT RENEWED

Business

Title

First Name

TAISIYA

Last Name

GRILLI

Business Name

TAISIYA GRILLI OD

Original Issue Date

03/13/2013

Effective Date

05/25/2022

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025