SHIVANI RAM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010767

License Status

NOT RENEWED

Business

Title

First Name

SHIVANI

Last Name

RAM

Business Name

SHIVANI RAM OD

Original Issue Date

05/22/2014

Effective Date

03/09/2016

Expiration Date

03/31/2018

City

SAINT LOUIS

State

Zip

63102

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/19/2018