NEENA SHARIN GABRIELLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****33

License Status

NOT RENEWED

Business

First Name

NEENA

Middle

SHARIN

Last Name

GABRIELLE

Suffix

Business Name

NEENA SHARIN GABRIELLE OD

Original Issue Date

07/09/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

LANSING

State

Zip

60438

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005