SHAWN M KOEHLER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928876

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

Last Name

KOEHLER

Business Name

SHAWN M KOEHLER

Original Issue Date

08/15/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/11/2005