SHAWN A STOFFREGEN Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008425

License Status

INACTIVE

Business

First Name

SHAWN A

Last Name

STOFFREGEN

Business Name

SHAWN A STOFFREGEN

Original Issue Date

09/17/1991

Effective Date

04/10/2000

Expiration Date

03/31/2000

City

SPARTA

State

Zip

54656

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005

Case Number

1996012104

Action

Fine

Discipline Start Date

08/28/1997

Discipline Reason

Failing to provide sufficient proof of required continuing education hours during a Department audit.