NAMRATA MODI OD

Business Entity
ACTIVE

Optometrist

OPTOMETRIST CONTROLLED SUBSTANCE

34*****41

ACTIVE

N

OD

NAMRATA

MODI

NAMRATA MODI OD

10/17/2016

03/04/2026

03/31/2028

CHICAGO

IL

60607

COOK

II III IV V

N

03/04/2026