HUMA ISHAQ JEELANI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****40

License Status

NOT RENEWED

Business

First Name

HUMA

Middle

ISHAQ

Last Name

JEELANI

Suffix

Business Name

HUMA ISHAQ JEELANI OD

Original Issue Date

07/20/2011

Effective Date

07/20/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012