SHINU P VARGHESE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931412

License Status

NOT RENEWED

Business

First Name

SHINU

Middle

Last Name

VARGHESE

Suffix

Business Name

SHINU P VARGHESE OD

Original Issue Date

08/25/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2008