TEJAL PATEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931639

License Status

NOT RENEWED

Business

Title

First Name

TEJAL

Last Name

PATEL

Business Name

TEJAL PATEL OD

Original Issue Date

12/07/2005

Effective Date

12/07/2005

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006