PUJA SHAH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****89

License Status

NOT RENEWED

Business

Title

First Name

PUJA

Last Name

SHAH

Business Name

PUJA SHAH OD

Original Issue Date

12/01/2011

Effective Date

02/22/2016

Expiration Date

03/31/2018

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018