SHILPA VIKAS SHAH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****76

License Status

NOT RENEWED

Business

Title

First Name

SHILPA

Middle

VIKAS

Last Name

SHAH

Business Name

SHILPA VIKAS SHAH OD

Original Issue Date

08/03/2009

Effective Date

03/08/2010

Expiration Date

03/31/2012

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

05/16/2012