TANVI D MAGO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****18

License Status

NOT RENEWED

Business

Title

First Name

TANVI

Middle

Last Name

MAGO

Business Name

TANVI D MAGO OD

Original Issue Date

08/14/2008

Effective Date

08/14/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010