CHAITALI SHUKLA OD - Optometrist License in Illinois | # 047935063

CHAITALI SHUKLA OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935063

License Status

CANCELLED

Business

N

First Name

CHAITALI

Last Name

SHUKLA

Suffix

OD

Business Name

CHAITALI SHUKLA OD

Original Issue Date

02/05/2009

Effective Date

02/05/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010