SHANNON M GLEASON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010284

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

GLEASON

Business Name

SHANNON M GLEASON

Original Issue Date

07/10/2009

Effective Date

07/10/2009

Expiration Date

03/31/2010

City

GENOA CITY

State

Zip

53128

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/04/2010