PRAYAG D SHAH OD - Optometrist License in Illinois | # 047929325

PRAYAG D SHAH OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929325

License Status

NOT RENEWED

Business

N

First Name

PRAYAG

Middle

D

Last Name

SHAH

Suffix

OD

Business Name

PRAYAG D SHAH OD

Original Issue Date

02/20/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005