MILA MALHOTRA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****48

License Status

NOT RENEWED

Business

First Name

MILA

Last Name

MALHOTRA

Suffix

Business Name

MILA MALHOTRA OD

Original Issue Date

07/29/2010

Effective Date

03/19/2014

Expiration Date

03/31/2016

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016