KATHY H PATEL Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****56

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

Last Name

PATEL

Business Name

KATHY H PATEL

Original Issue Date

06/22/2007

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

ELGIN

State

Zip

60120

County

KANE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021