SAMIR C PATEL OD - Optometrist License in Illinois | # 047931466

SAMIR C PATEL OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931466

License Status

NOT RENEWED

Business

N

First Name

SAMIR

Middle

C

Last Name

PATEL

Suffix

OD

Business Name

SAMIR C PATEL OD

Original Issue Date

08/25/2005

Effective Date

08/25/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006