SHAWNA LANETTE HEDDINGHAUS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932783

License Status

CANCELLED

Business

First Name

SHAWNA

Middle

LANETTE

Last Name

HEDDINGHAUS

Suffix

Business Name

SHAWNA LANETTE HEDDINGHAUS OD

Original Issue Date

01/17/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010