RACHANA S PATEL CARRIZALES Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933178

License Status

NOT RENEWED

Business

First Name

RACHANA

Middle

Last Name

PATEL CARRIZALES

Business Name

RACHANA S PATEL CARRIZALES

Original Issue Date

07/18/2007

Effective Date

07/18/2007

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008