Komal Bhupendra Shah Od
InactiveIllinois license 046010123
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 046010123
- Status
- Inactive
- First issued
- July 2, 2008
- Expired
- March 31, 2010
- License holder
- Komal Bhupendra Shah
- Entity type
- Individual
Classifications
- Licensed Optometrist (Optometry) Vision & Hearing
More from the license record
- Current term began
- 07/02/2008
Contact
West Allis, WI 60409
Wisconsin County