ELLEN SUE SHORTER Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935680

License Status

CANCELLED

Business

First Name

ELLEN

Middle

SUE

Last Name

SHORTER

Business Name

ELLEN SUE SHORTER

Original Issue Date

09/11/2009

Effective Date

09/11/2009

Expiration Date

03/31/2010

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010