KETAN K SHELADIA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931087

License Status

NOT RENEWED

Business

First Name

KETAN

Middle

Last Name

SHELADIA

Suffix

Business Name

KETAN K SHELADIA OD

Original Issue Date

04/19/2005

Effective Date

04/19/2005

Expiration Date

03/31/2006

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006