STUART H SHAKE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008466

License Status

NOT RENEWED

Business

First Name

STUART H

Last Name

SHAKE

Suffix

Business Name

STUART H SHAKE OD

Original Issue Date

11/19/1991

Expiration Date

03/31/1994

City

WASHINGTON

State

Zip

47501

County

INDIANA

Ever Disciplined

LastModifiedDate

08/31/2005