SRINIVAS JAIRAM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****26

License Status

NOT RENEWED

Business

Title

First Name

SRINIVAS

Last Name

JAIRAM

Business Name

SRINIVAS JAIRAM OD

Original Issue Date

03/27/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006