NISHA B JANI-KONDURI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****85

License Status

NOT RENEWED

Business

First Name

NISHA

Middle

Last Name

JANI-KONDURI

Business Name

NISHA B JANI-KONDURI

Original Issue Date

05/18/2000

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008