JENNIFER LYNN SHANE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009177

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

SHANE

Suffix

Business Name

JENNIFER LYNN SHANE OD

Original Issue Date

07/13/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

RENO

State

Zip

89509

County

NEVADA

Ever Disciplined

LastModifiedDate

09/11/2005