NEHA S SHAH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930089

License Status

NOT RENEWED

Business

First Name

NEHA

Middle

Last Name

SHAH

Suffix

Business Name

NEHA S SHAH OD

Original Issue Date

04/09/2004

Effective Date

04/09/2004

Expiration Date

03/31/2006

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006