MAMTA JAYSUKH PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125374

License Status

NOT RENEWED

Business

First Name

MAMTA

Middle

JAYSUKH

Last Name

PATEL

Business Name

MAMTA JAYSUKH PATEL

Original Issue Date

04/08/1999

Effective Date

04/08/1999

Expiration Date

03/31/2004

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005