KOMAL BHUPENDRA SHAH OD - Optometrist License in Wisconsin | # 046010123

KOMAL BHUPENDRA SHAH OD

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010123

License Status

INACTIVE

Business

N

Title

OD

First Name

KOMAL

Middle

BHUPENDRA

Last Name

SHAH

Business Name

KOMAL BHUPENDRA SHAH OD

Original Issue Date

07/02/2008

Effective Date

07/02/2008

Expiration Date

03/31/2010

State

WI

Ever Disciplined

N

LastModifiedDate

01/05/2010