DEEPA R PATEL Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009736

License Status

NOT RENEWED

Business

First Name

DEEPA

Middle

Last Name

PATEL

Business Name

DEEPA R PATEL

Original Issue Date

02/25/2005

Effective Date

03/22/2016

Expiration Date

03/31/2018

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018