RITU BAJAJ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****32

License Status

NOT RENEWED

Business

First Name

RITU

Last Name

BAJAJ

Suffix

Business Name

RITU BAJAJ OD

Original Issue Date

04/23/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ANNA

State

Zip

62906

County

UNION

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006