KOMAL BHUPENDRA SHAH OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010123

License Status

INACTIVE

Business

Title

First Name

KOMAL

Middle

BHUPENDRA

Last Name

SHAH

Business Name

KOMAL BHUPENDRA SHAH OD

Original Issue Date

07/02/2008

Effective Date

07/02/2008

Expiration Date

03/31/2010

City

WEST ALLIS

State

Zip

60409

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/05/2010