NEHA S SHAH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928257

License Status

NOT RENEWED

Business

First Name

NEHA

Middle

Last Name

SHAH

Suffix

Business Name

NEHA S SHAH OD

Original Issue Date

10/31/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005