SHINU P VARGHESE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933447

License Status

CANCELLED

Business

First Name

SHINU

Middle

Last Name

VARGHESE

Suffix

Business Name

SHINU P VARGHESE OD

Original Issue Date

10/06/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010