KAVITA K PATEL Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****62

License Status

NOT RENEWED

Business

First Name

KAVITA

Middle

Last Name

PATEL

Business Name

KAVITA K PATEL

Original Issue Date

07/24/2020

Effective Date

03/08/2022

Expiration Date

03/31/2024

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025