SHAWN A DYGOLA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933990

License Status

CANCELLED

Business

First Name

SHAWN A

Last Name

DYGOLA

Suffix

Business Name

SHAWN A DYGOLA OD

Original Issue Date

03/31/2008

Effective Date

03/31/2008

Expiration Date

03/31/2010

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010