SRINIVAS JAIRAM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****35

License Status

NOT RENEWED

Business

Title

First Name

SRINIVAS

Last Name

JAIRAM

Business Name

SRINIVAS JAIRAM OD

Original Issue Date

07/09/2001

Effective Date

03/03/2016

Expiration Date

03/31/2018

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018