POONAM S PATEL OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****00

License Status

ACTIVE

Business

First Name

POONAM

Middle

Last Name

PATEL

Suffix

Business Name

POONAM S PATEL OD

Original Issue Date

06/07/2022

Effective Date

03/22/2026

Expiration Date

03/31/2028

City

ELK GROVE VILLAGE

State

Zip

60007

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/22/2026