SHELLEY S KIM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927173

License Status

NOT RENEWED

Business

First Name

SHELLEY

Middle

Last Name

KIM

Suffix

Business Name

SHELLEY S KIM OD

Original Issue Date

05/31/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/11/2005