AJAY SAMIR PATEL OD - Optometrist License in Illinois | # 046010690

AJAY SAMIR PATEL OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010690

License Status

NOT RENEWED

Business

N

Title

OD

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014