SHANE RONALD BRAUN OD - Optometrist License in Illinois | # 047926748

SHANE RONALD BRAUN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926748

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

RONALD

Last Name

BRAUN

Suffix

OD

Business Name

SHANE RONALD BRAUN OD

Original Issue Date

02/02/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005