RAMINA NISSAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****14

License Status

NOT RENEWED

Business

Title

First Name

RAMINA

Last Name

NISSAN

Business Name

RAMINA NISSAN OD

Original Issue Date

07/15/2016

Effective Date

09/18/2018

Expiration Date

09/30/2020

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021