SHAWN M KOEHLER - Optometrist License in Illinois | # 047929053

SHAWN M KOEHLER

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929053

License Status

NOT RENEWED

Business

N

First Name

SHAWN

Middle

M

Last Name

KOEHLER

Business Name

SHAWN M KOEHLER

Original Issue Date

10/18/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005