SAMIR C PATEL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933221

License Status

CANCELLED

Business

First Name

SAMIR

Middle

Last Name

PATEL

Suffix

Business Name

SAMIR C PATEL OD

Original Issue Date

07/25/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010