AJAY SAMIR PATEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010690

License Status

NOT RENEWED

Business

Title

First Name

AJAY

Middle

SAMIR

Last Name

PATEL

Business Name

AJAY SAMIR PATEL OD

Original Issue Date

06/21/2013

Effective Date

06/21/2013

Expiration Date

03/31/2014

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2014