KENNETH A SHAE - Optometrist License in Illinois | # 047005058

KENNETH A SHAE

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005058

License Status

NOT RENEWED

Business

N

First Name

KENNETH A

Last Name

SHAE

Business Name

KENNETH A SHAE

Original Issue Date

07/29/1988

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005