SHREYA N PATEL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934974

License Status

CANCELLED

Business

First Name

SHREYA

Middle

Last Name

PATEL

Suffix

Business Name

SHREYA N PATEL OD

Original Issue Date

12/31/2008

Effective Date

12/31/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010