SAMIR C PATEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931434

License Status

NOT RENEWED

Business

First Name

SAMIR

Middle

Last Name

PATEL

Suffix

Business Name

SAMIR C PATEL OD

Original Issue Date

08/25/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008