AMY PATEL OD - Optometrist License in Illinois | # 047934643

AMY PATEL OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934643

License Status

CANCELLED

Business

N

First Name

AMY

Last Name

PATEL

Suffix

OD

Business Name

AMY PATEL OD

Original Issue Date

09/12/2008

Effective Date

09/12/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010