ANJALI PALVIA SHAH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009844

License Status

NOT RENEWED

Business

First Name

ANJALI

Middle

PALVIA

Last Name

SHAH

Suffix

Business Name

ANJALI PALVIA SHAH OD

Original Issue Date

06/14/2006

Effective Date

06/14/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008