PAYAL PATEL Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935902

License Status

CANCELLED

Business

First Name

PAYAL

Last Name

PATEL

Business Name

PAYAL PATEL

Original Issue Date

12/15/2009

Effective Date

12/15/2009

Expiration Date

03/31/2010

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

05/04/2010