SHAWNA LANETTE HEDDINGHAUS OD - Optometrist License in Illinois | # 047927594

SHAWNA LANETTE HEDDINGHAUS OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927594

License Status

CANCELLED

Business

N

First Name

SHAWNA

Middle

LANETTE

Last Name

HEDDINGHAUS

Suffix

OD

Business Name

SHAWNA LANETTE HEDDINGHAUS OD

Original Issue Date

11/15/2000

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010