SURENDRA V PATEL Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064042

License Status

CANCELLED

Business

First Name

SURENDRA V

Last Name

PATEL

Business Name

SURENDRA V PATEL

Original Issue Date

08/15/1975

Effective Date

08/15/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005