ELLIOTT M SHAPIRO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047027420

License Status

NOT RENEWED

Business

First Name

ELLIOTT

Middle

Last Name

SHAPIRO

Suffix

Business Name

ELLIOTT M SHAPIRO OD

Original Issue Date

03/18/1993

Expiration Date

03/31/1994

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005