RACHANA S PATEL CARRIZALES Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933180

License Status

CANCELLED

Business

First Name

RACHANA

Middle

Last Name

PATEL CARRIZALES

Business Name

RACHANA S PATEL CARRIZALES

Original Issue Date

07/18/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010