KOMAL VIPUL PATEL - Pharmacist License in Indiana | # 049152777

KOMAL VIPUL PATEL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152777

License Status

NOT RENEWED

Business

N

First Name

KOMAL

Middle

VIPUL

Last Name

PATEL

Business Name

KOMAL VIPUL PATEL

Original Issue Date

01/05/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IN

Ever Disciplined

N

LastModifiedDate

05/02/2008