ANJALI PALVIA SHAH OD - Optometrist License in Illinois | # 047932755

ANJALI PALVIA SHAH OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932755

License Status

NOT RENEWED

Business

N

First Name

ANJALI

Middle

PALVIA

Last Name

SHAH

Suffix

OD

Business Name

ANJALI PALVIA SHAH OD

Original Issue Date

01/02/2007

Effective Date

01/02/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008