BEENA S PATEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****27

License Status

NOT RENEWED

Business

Title

First Name

BEENA

Middle

Last Name

PATEL

Business Name

BEENA S PATEL OD

Original Issue Date

09/16/2015

Effective Date

03/11/2020

Expiration Date

05/31/2022

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022