AZZRAH THOBANI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****36

License Status

NOT RENEWED

Business

First Name

AZZRAH

Last Name

THOBANI

Suffix

Business Name

AZZRAH THOBANI OD

Original Issue Date

06/25/2009

Effective Date

02/22/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012