GULROOP S HANSRA OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****99

License Status

INACTIVE

Business

First Name

GULROOP

Middle

Last Name

HANSRA

Suffix

Business Name

GULROOP S HANSRA OD

Original Issue Date

06/04/1996

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006