HETAL SHAH DESAI Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935625

License Status

CANCELLED

Business

First Name

HETAL

Middle

SHAH

Last Name

DESAI

Business Name

HETAL SHAH DESAI

Original Issue Date

08/20/2009

Effective Date

08/20/2009

Expiration Date

03/31/2010

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010