GITA SURENDRAKUM PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065059

License Status

NOT RENEWED

Business

First Name

GITA SURENDRAKUM

Last Name

PATEL

Business Name

GITA SURENDRAKUM PATEL

Original Issue Date

03/19/1976

Effective Date

03/19/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005