EVE BETH LEWIS-SHAPIRO OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928551

License Status

CANCELLED

Business

First Name

EVE

Middle

BETH

Last Name

LEWIS-SHAPIRO

Suffix

Business Name

EVE BETH LEWIS-SHAPIRO OD

Original Issue Date

04/11/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010