EDWARD SHANE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005713

License Status

NOT RENEWED

Business

First Name

EDWARD

Last Name

SHANE

Business Name

EDWARD SHANE

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

08/31/2005