NOKHRAM BOODHOO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****61

License Status

NOT RENEWED

Business

First Name

NOKHRAM

Last Name

BOODHOO

Suffix

Business Name

NOKHRAM BOODHOO OD

Original Issue Date

03/12/2004

Effective Date

01/04/2020

Expiration Date

05/31/2022

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022