AFROUZ ALAI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****64

License Status

NOT RENEWED

Business

Title

First Name

AFROUZ

Last Name

ALAI

Business Name

AFROUZ ALAI OD

Original Issue Date

05/25/2017

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021