RITU BAJAJ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****12

License Status

NOT RENEWED

Business

First Name

RITU

Last Name

BAJAJ

Suffix

Business Name

RITU BAJAJ OD

Original Issue Date

10/09/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006