SHANA BETH BRAFMAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934393

License Status

CANCELLED

Business

First Name

SHANA

Middle

BETH

Last Name

BRAFMAN

Suffix

Business Name

SHANA BETH BRAFMAN OD

Original Issue Date

07/12/2008

Effective Date

07/12/2008

Expiration Date

03/31/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010