KETAN K SHELADIA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930525

License Status

NOT RENEWED

Business

First Name

KETAN

Middle

Last Name

SHELADIA

Suffix

Business Name

KETAN K SHELADIA OD

Original Issue Date

08/23/2004

Effective Date

08/23/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006