MONA B PATEL OD - Optometrist License in Illinois | # 047930726

MONA B PATEL OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930726

License Status

NOT RENEWED

Business

N

First Name

MONA

Middle

B

Last Name

PATEL

Suffix

OD

Business Name

MONA B PATEL OD

Original Issue Date

11/16/2004

Effective Date

11/16/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006