SHRUTI DAHESH PATEL Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****32

License Status

NOT RENEWED

Business

First Name

SHRUTI

Middle

DAHESH

Last Name

PATEL

Business Name

SHRUTI DAHESH PATEL

Original Issue Date

09/09/2022

Effective Date

09/09/2022

Expiration Date

03/31/2024

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/05/2025