SHELLEY MINGWEN WU OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009485

License Status

NOT RENEWED

Business

First Name

SHELLEY

Middle

MINGWEN

Last Name

Suffix

Business Name

SHELLEY MINGWEN WU OD

Original Issue Date

07/19/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005