ATHA ALI HYDERI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****22

License Status

NOT RENEWED

Business

Title

First Name

ATHA

Middle

ALI

Last Name

HYDERI

Business Name

ATHA ALI HYDERI OD

Original Issue Date

10/17/2003

Effective Date

03/05/2020

Expiration Date

05/31/2022

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022