POONAM S PATEL OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010453

License Status

ACTIVE

Business

First Name

POONAM

Middle

Last Name

PATEL

Suffix

Business Name

POONAM S PATEL OD

Original Issue Date

06/28/2011

Effective Date

03/22/2026

Expiration Date

03/31/2028

City

ELK GROVE VILLAGE

State

Zip

60007

Ever Disciplined

LastModifiedDate

03/22/2026