SHELLY DIANE BAKER OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008927

License Status

INACTIVE

Business

First Name

SHELLY DIANE

Last Name

BAKER

Suffix

Business Name

SHELLY DIANE BAKER OD

Original Issue Date

09/19/1996

Expiration Date

03/31/1998

City

GARDEN

State

Zip

49835

County

MICHIGAN

Ever Disciplined

LastModifiedDate

08/31/2005