GHAZALA ALI OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****18

License Status

INACTIVE

Business

Title

First Name

GHAZALA

Last Name

ALI

Business Name

GHAZALA ALI OD

Original Issue Date

07/06/2010

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

YORKVILLE

State

Zip

60560

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/04/2020