AMY PATEL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934644

License Status

CANCELLED

Business

First Name

AMY

Last Name

PATEL

Suffix

Business Name

AMY PATEL OD

Original Issue Date

09/12/2008

Effective Date

09/12/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010