DIPEN CHAMPAKLAL MAUN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121513

License Status

NOT RENEWED

Business

First Name

DIPEN

Middle

CHAMPAKLAL

Last Name

MAUN

Business Name

DIPEN CHAMPAKLAL MAUN

Original Issue Date

06/12/1998

Effective Date

06/12/1998

Expiration Date

03/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005