PRAYAG D SHAH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930473

License Status

NOT RENEWED

Business

First Name

PRAYAG

Middle

Last Name

SHAH

Suffix

Business Name

PRAYAG D SHAH OD

Original Issue Date

08/13/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

05/02/2008