NEHA S SHAH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929198

License Status

NOT RENEWED

Business

First Name

NEHA

Middle

Last Name

SHAH

Suffix

Business Name

NEHA S SHAH OD

Original Issue Date

12/16/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005