DEEPAK T DATTANI Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069502

License Status

CANCELLED

Business

First Name

DEEPAK T

Last Name

DATTANI

Business Name

DEEPAK T DATTANI

Original Issue Date

06/09/1978

Effective Date

06/09/1978

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005