BIJAL R DESAI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****79

License Status

NOT RENEWED

Business

Title

First Name

BIJAL

Middle

Last Name

DESAI

Business Name

BIJAL R DESAI OD

Original Issue Date

09/03/2013

Effective Date

09/03/2013

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014