PAYAL PATEL Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935622

License Status

CANCELLED

Business

First Name

PAYAL

Last Name

PATEL

Business Name

PAYAL PATEL

Original Issue Date

08/20/2009

Effective Date

08/20/2009

Expiration Date

03/31/2010

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/04/2010