ANKUR D MEHTA DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127189

License Status

NOT RENEWED

Business

First Name

ANKUR

Middle

Last Name

MEHTA

Suffix

Business Name

ANKUR D MEHTA DO

Original Issue Date

08/26/1999

Effective Date

08/26/1999

Expiration Date

03/31/2002

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

12/06/2005