DIANA NAHID RANJBAR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****46

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

NAHID

Last Name

RANJBAR

Suffix

Business Name

DIANA NAHID RANJBAR OD

Original Issue Date

07/28/2010

Effective Date

01/25/2012

Expiration Date

03/31/2014

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014