MUMTAJ A PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114992

License Status

NOT RENEWED

Business

First Name

MUMTAJ

Middle

Last Name

PATEL

Business Name

MUMTAJ A PATEL

Original Issue Date

08/20/1996

Effective Date

08/20/1996

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005