SHREYA N PATEL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935150

License Status

CANCELLED

Business

First Name

SHREYA

Middle

Last Name

PATEL

Suffix

Business Name

SHREYA N PATEL OD

Original Issue Date

03/11/2009

Effective Date

03/11/2009

Expiration Date

03/31/2010

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010