RESHMA DHAVAL ADHVARYU OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****93

License Status

NOT RENEWED

Business

First Name

RESHMA

Middle

DHAVAL

Last Name

ADHVARYU

Suffix

Business Name

RESHMA DHAVAL ADHVARYU OD

Original Issue Date

10/22/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005