ELLIOTT M SHAPIRO OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007420

License Status

INACTIVE

Business

First Name

ELLIOTT

Middle

Last Name

SHAPIRO

Suffix

Business Name

ELLIOTT M SHAPIRO OD

Original Issue Date

08/10/1981

Effective Date

04/01/2004

Expiration Date

03/31/2006

City

SAN DIEGO

State

Zip

92130

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

01/18/2006

Case Number

1992005048

Action

Fine

Discipline Start Date

03/02/1993

Discipline Reason

Failed to possess an ancillary license for his secondary location.