SONAL M TRIVEDI OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****72

License Status

INACTIVE

Business

Title

First Name

SONAL

Middle

Last Name

TRIVEDI

Business Name

SONAL M TRIVEDI OD

Original Issue Date

07/06/2015

Effective Date

03/17/2016

Expiration Date

03/31/2018

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/17/2016