SHAWNA LANETTE HEDDINGHAUS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926298

License Status

NOT RENEWED

Business

First Name

SHAWNA

Middle

LANETTE

Last Name

HEDDINGHAUS

Suffix

Business Name

SHAWNA LANETTE HEDDINGHAUS OD

Original Issue Date

07/14/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/11/2005