AMY PATEL OD - Optometrist License in Illinois | # 047931580

AMY PATEL OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931580

License Status

NOT RENEWED

Business

N

First Name

AMY

Last Name

PATEL

Suffix

OD

Business Name

AMY PATEL OD

Original Issue Date

10/19/2005

Effective Date

10/19/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006