SHABANA NAWAZ Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****26

License Status

NOT RENEWED

Business

First Name

SHABANA

Last Name

NAWAZ

Business Name

SHABANA NAWAZ

Original Issue Date

09/16/2015

Effective Date

09/16/2015

Expiration Date

03/31/2016

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2016