TEJAL PATEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932383

License Status

NOT RENEWED

Business

Title

First Name

TEJAL

Last Name

PATEL

Business Name

TEJAL PATEL OD

Original Issue Date

06/30/2006

Effective Date

06/30/2006

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008