AMBREEN RAHMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****60

License Status

NOT RENEWED

Business

First Name

AMBREEN

Last Name

RAHMAN

Business Name

AMBREEN RAHMAN

Original Issue Date

06/29/2015

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021