SHAWN P MALLADY OD - Optometrist License in Illinois | # 047208619

SHAWN P MALLADY OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047208619

License Status

NOT RENEWED

Business

N

First Name

SHAWN P

Last Name

MALLADY

Suffix

OD

Business Name

SHAWN P MALLADY OD

Original Issue Date

07/14/1995

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005