SHINU P VARGHESE OD - Optometrist License in Illinois | # 047931412

SHINU P VARGHESE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931412

License Status

NOT RENEWED

Business

N

First Name

SHINU

Middle

P

Last Name

VARGHESE

Suffix

OD

Business Name

SHINU P VARGHESE OD

Original Issue Date

08/25/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008