PERVIZ B MEHTA

Business Entity
NOT RENEWED

Pharmacist

PHARMACY TECHNICIAN

049089078

NOT RENEWED

N

PERVIZ B

MEHTA

PERVIZ B MEHTA

02/28/1989

02/28/1989

03/31/1991

OAK PARK

IL

60302

COOK

Y

10/17/2005

1989003136

Suspension

06/09/1990

12/09/1990