MONA B PATEL OD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117955

License Status

NOT RENEWED

Business

First Name

MONA

Middle

Last Name

PATEL

Suffix

Business Name

MONA B PATEL OD

Original Issue Date

06/24/1997

Effective Date

06/24/1997

Expiration Date

03/31/2001

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005