SHAWN A DYGOLA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925791

License Status

NOT RENEWED

Business

First Name

SHAWN A

Last Name

DYGOLA

Suffix

Business Name

SHAWN A DYGOLA OD

Original Issue Date

07/27/1998

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005