SHAWN M KOEHLER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928947

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

Last Name

KOEHLER

Business Name

SHAWN M KOEHLER

Original Issue Date

09/04/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/11/2005