EVE BETH LEWIS-SHAPIRO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925480

License Status

NOT RENEWED

Business

First Name

EVE

Middle

BETH

Last Name

LEWIS-SHAPIRO

Suffix

Business Name

EVE BETH LEWIS-SHAPIRO OD

Original Issue Date

10/27/1997

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60635

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005