CHAITALI SHUKLA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010107

License Status

NOT RENEWED

Business

First Name

CHAITALI

Last Name

SHUKLA

Suffix

Business Name

CHAITALI SHUKLA OD

Original Issue Date

06/30/2008

Effective Date

02/23/2010

Expiration Date

03/31/2012

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/16/2012