ANJALI PALVIA SHAH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932435

License Status

NOT RENEWED

Business

First Name

ANJALI

Middle

PALVIA

Last Name

SHAH

Suffix

Business Name

ANJALI PALVIA SHAH OD

Original Issue Date

08/01/2006

Effective Date

08/01/2006

Expiration Date

03/31/2008

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008