AVERY N SHULMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047116491

License Status

NOT RENEWED

Business

Title

First Name

AVERY

Middle

Last Name

SHULMAN

Business Name

AVERY N SHULMAN OD

Original Issue Date

09/05/1995

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005