SHINU P VARGHESE OD - Optometrist License in Illinois | # 047933447

SHINU P VARGHESE OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933447

License Status

CANCELLED

Business

N

First Name

SHINU

Middle

P

Last Name

VARGHESE

Suffix

OD

Business Name

SHINU P VARGHESE OD

Original Issue Date

10/06/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010