DOUGLAS T SHUMAKER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928243

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

SHUMAKER

Suffix

Business Name

DOUGLAS T SHUMAKER OD

Original Issue Date

10/29/2001

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008