SEJAL PRAVIN PATEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****63

License Status

NOT RENEWED

Business

Title

First Name

SEJAL

Middle

PRAVIN

Last Name

PATEL

Business Name

SEJAL PRAVIN PATEL OD

Original Issue Date

07/14/2014

Effective Date

02/05/2020

Expiration Date

05/31/2022

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022