KRUTI DAVE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****15

License Status

NOT RENEWED

Business

Title

First Name

KRUTI

Last Name

DAVE

Business Name

KRUTI DAVE OD

Original Issue Date

10/22/2014

Effective Date

03/25/2022

Expiration Date

03/31/2024

City

HODGKINS

State

Zip

60525

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025