REMA IDRISS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****11

License Status

NOT RENEWED

Business

Title

First Name

REMA

Last Name

IDRISS

Business Name

REMA IDRISS OD

Original Issue Date

07/15/2021

Effective Date

07/15/2021

Expiration Date

05/31/2022

City

CHANTILLY

State

Zip

20152

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

07/27/2022