TEJAL PATEL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934367

License Status

CANCELLED

Business

Title

First Name

TEJAL

Last Name

PATEL

Business Name

TEJAL PATEL OD

Original Issue Date

07/03/2008

Effective Date

07/03/2008

Expiration Date

03/31/2010

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010