ELLEN SUE SHORTER - Optometrist License in Illinois | # 047935680

ELLEN SUE SHORTER

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935680

License Status

CANCELLED

Business

N

First Name

ELLEN

Middle

SUE

Last Name

SHORTER

Business Name

ELLEN SUE SHORTER

Original Issue Date

09/11/2009

Effective Date

09/11/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010