NIDHI RANA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****09

License Status

NOT RENEWED

Business

First Name

NIDHI

Last Name

RANA

Suffix

Business Name

NIDHI RANA OD

Original Issue Date

07/19/2004

Effective Date

08/01/2005

Expiration Date

07/07/2005

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/02/2005