AMY PATEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933505

License Status

NOT RENEWED

Business

First Name

AMY

Last Name

PATEL

Suffix

Business Name

AMY PATEL OD

Original Issue Date

10/25/2007

Effective Date

10/25/2007

Expiration Date

03/31/2008

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008