AMY PATEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931581

License Status

NOT RENEWED

Business

First Name

AMY

Last Name

PATEL

Suffix

Business Name

AMY PATEL OD

Original Issue Date

10/19/2005

Effective Date

10/19/2005

Expiration Date

03/31/2006

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/11/2006