STUART H SHAKE OD - Optometrist License in Indiana | # 046008466

STUART H SHAKE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008466

License Status

NOT RENEWED

Business

N

First Name

STUART H

Last Name

SHAKE

Suffix

OD

Business Name

STUART H SHAKE OD

Original Issue Date

11/19/1991

Expiration Date

03/31/1994

State

IN

Ever Disciplined

N

LastModifiedDate

08/31/2005