RITU BAJAJ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****97

License Status

NOT RENEWED

Business

First Name

RITU

Last Name

BAJAJ

Suffix

Business Name

RITU BAJAJ OD

Original Issue Date

09/27/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006