BENJAMIN I SHLAES OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004807

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN I

Last Name

SHLAES

Business Name

BENJAMIN I SHLAES OD

Original Issue Date

03/19/1986

Expiration Date

03/31/1988

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

11/16/2005