T DANE SHELLEY OD - Optometrist License in Illinois | # 046006644

T DANE SHELLEY OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006644

License Status

NOT RENEWED

Business

N

First Name

T

Middle

DANE

Last Name

SHELLEY

Suffix

OD

Business Name

T DANE SHELLEY OD

Original Issue Date

08/14/1974

Effective Date

03/05/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022