DEENA GIRISH RAVAL DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124349

License Status

NOT RENEWED

Business

Title

First Name

DEENA

Middle

GIRISH

Last Name

RAVAL

Business Name

DEENA GIRISH RAVAL DO

Original Issue Date

12/30/1998

Effective Date

12/30/1998

Expiration Date

03/31/2000

City

MORRIS

State

Zip

60450

Ever Disciplined

LastModifiedDate

10/21/2005