TEJAL PATEL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931661

License Status

CANCELLED

Business

Title

First Name

TEJAL

Last Name

PATEL

Business Name

TEJAL PATEL OD

Original Issue Date

01/19/2006

Effective Date

05/28/2008

Expiration Date

03/31/2010

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

05/04/2010