KRUPA V PATEL OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****86

License Status

ACTIVE

Business

Title

First Name

KRUPA

Middle

Last Name

PATEL

Business Name

KRUPA V PATEL OD

Original Issue Date

08/13/2019

Effective Date

03/27/2024

Expiration Date

03/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026