PRAYAG D SHAH OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009516

License Status

ACTIVE

Business

First Name

PRAYAG

Middle

Last Name

SHAH

Suffix

Business Name

PRAYAG D SHAH OD

Original Issue Date

10/22/2002

Effective Date

01/15/2026

Expiration Date

03/31/2028

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/15/2026