JANE E SHEA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930096

License Status

NOT RENEWED

Business

Title

First Name

JANE

Middle

Last Name

SHEA

Business Name

JANE E SHEA OD

Original Issue Date

04/20/2004

Effective Date

04/20/2004

Expiration Date

03/31/2006

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/11/2006