SAIRA NISHATH KHAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****80

License Status

NOT RENEWED

Business

Title

First Name

SAIRA

Middle

NISHATH

Last Name

KHAN

Business Name

SAIRA NISHATH KHAN OD

Original Issue Date

07/14/2015

Effective Date

02/04/2016

Expiration Date

03/31/2018

City

WEST BLOOMFIELD

State

Zip

48324

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018