MATHURAA SASITHARAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****69

License Status

NOT RENEWED

Business

First Name

MATHURAA

Last Name

SASITHARAN

Business Name

MATHURAA SASITHARAN

Original Issue Date

05/26/2017

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

CALUMET CITY

State

Zip

60409

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021