AMY PATEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929583

License Status

NOT RENEWED

Business

First Name

AMY

Last Name

PATEL

Suffix

Business Name

AMY PATEL OD

Original Issue Date

08/04/2003

Effective Date

03/09/2004

Expiration Date

03/31/2006

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006