HETAL BAXI PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115801

License Status

NOT RENEWED

Business

First Name

HETAL

Middle

BAXI

Last Name

PATEL

Business Name

HETAL BAXI PATEL

Original Issue Date

11/01/1996

Effective Date

11/01/1996

Expiration Date

03/31/2002

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005