SHELLEY S KIM OD - Optometrist License in Illinois | # 047927173

SHELLEY S KIM OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927173

License Status

NOT RENEWED

Business

N

First Name

SHELLEY

Middle

S

Last Name

KIM

Suffix

OD

Business Name

SHELLEY S KIM OD

Original Issue Date

05/31/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005