SHAWN P MALLADY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925976

License Status

NOT RENEWED

Business

First Name

SHAWN P

Last Name

MALLADY

Suffix

Business Name

SHAWN P MALLADY OD

Original Issue Date

11/09/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

DANVILLE

State

Zip

61834

County

VERMILION

Ever Disciplined

LastModifiedDate

09/11/2005