SAMIR C PATEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931802

License Status

NOT RENEWED

Business

First Name

SAMIR

Middle

Last Name

PATEL

Suffix

Business Name

SAMIR C PATEL OD

Original Issue Date

03/10/2006

Effective Date

03/10/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008