AMY PATEL OD - Optometrist License in Illinois | # 047929087

AMY PATEL OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929087

License Status

NOT RENEWED

Business

N

First Name

AMY

Last Name

PATEL

Suffix

OD

Business Name

AMY PATEL OD

Original Issue Date

10/18/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005