PRIYANKA PATEL Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****27

License Status

NOT RENEWED

Business

First Name

PRIYANKA

Last Name

PATEL

Prefix

Business Name

PRIYANKA PATEL

Original Issue Date

08/24/2022

Effective Date

08/24/2022

Expiration Date

03/31/2024

City

MORTON GROVE

State

Zip

60053

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025