T DANE SHELLEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106644

License Status

NOT RENEWED

Business

First Name

Middle

DANE

Last Name

SHELLEY

Suffix

Business Name

T DANE SHELLEY OD

Original Issue Date

05/02/1979

Expiration Date

05/01/1982

City

AURORA

State

Zip

60505

County

KANE

Ever Disciplined

LastModifiedDate

09/01/2005