SHAWN M KOEHLER Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929434

License Status

CANCELLED

Business

First Name

SHAWN

Middle

Last Name

KOEHLER

Business Name

SHAWN M KOEHLER

Original Issue Date

04/16/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/04/2010