MANI CHHIBBA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****75

License Status

NOT RENEWED

Business

Title

First Name

MANI

Last Name

CHHIBBA

Business Name

MANI CHHIBBA OD

Original Issue Date

10/11/2011

Effective Date

03/18/2014

Expiration Date

03/31/2016

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016