T DANE SHELLEY OD - Optometrist License in Illinois | # 047206644

T DANE SHELLEY OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206644

License Status

NOT RENEWED

Business

N

First Name

T

Middle

DANE

Last Name

SHELLEY

Suffix

OD

Business Name

T DANE SHELLEY OD

Original Issue Date

07/17/1980

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005