NEENA SHARIN GABRIELLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929115

License Status

NOT RENEWED

Business

First Name

NEENA

Middle

SHARIN

Last Name

GABRIELLE

Suffix

Business Name

NEENA SHARIN GABRIELLE OD

Original Issue Date

10/25/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005