PRAYAG D SHAH OD - Optometrist License in Illinois | # 047930473

PRAYAG D SHAH OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930473

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

08/13/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008