PAYAL PATEL - Optometrist License in Illinois | # 047935902

PAYAL PATEL

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935902

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010