FOROUZANDEH ALAVI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****23

License Status

NOT RENEWED

Business

First Name

FOROUZANDEH

Last Name

ALAVI

Suffix

Business Name

FOROUZANDEH ALAVI OD

Original Issue Date

08/18/2008

Effective Date

04/04/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014