TAREK MOHANA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****73

License Status

NOT RENEWED

Business

First Name

TAREK

Last Name

MOHANA

Business Name

TAREK MOHANA

Original Issue Date

06/03/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008