RABIA N J ANSARI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****08

License Status

NOT RENEWED

Business

First Name

RABIA

Middle

N J

Last Name

ANSARI

Suffix

Business Name

RABIA N J ANSARI OD

Original Issue Date

03/12/2008

Effective Date

03/12/2008

Expiration Date

03/31/2010

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010