TEHNEIYAT JEHAAN MACCI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****70

License Status

NOT RENEWED

Business

First Name

TEHNEIYAT

Middle

JEHAAN

Last Name

MACCI

Business Name

TEHNEIYAT JEHAAN MACCI

Original Issue Date

07/24/2014

Effective Date

01/04/2020

Expiration Date

05/31/2022

City

BLOOMINGDALE

State

Zip

60108

County

LAKE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022