SHRIPAL K BHAVSAR MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124909

License Status

NOT RENEWED

Business

Title

First Name

SHRIPAL

Middle

Last Name

BHAVSAR

Business Name

SHRIPAL K BHAVSAR MD

Original Issue Date

03/04/1999

Effective Date

03/04/1999

Expiration Date

03/31/2000

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/21/2005