AMY PATEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****07

License Status

NOT RENEWED

Business

First Name

AMY

Last Name

PATEL

Suffix

Business Name

AMY PATEL OD

Original Issue Date

04/15/2009

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

ST CHARLES

State

Zip

60174

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021