SHIRA M GELB OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930487

License Status

NOT RENEWED

Business

First Name

SHIRA

Middle

Last Name

GELB

Suffix

Business Name

SHIRA M GELB OD

Original Issue Date

08/13/2004

Effective Date

08/13/2004

Expiration Date

03/31/2006

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006