SUMITRA J MEHTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131680

License Status

NOT RENEWED

Business

First Name

SUMITRA

Middle

Last Name

MEHTA

Business Name

SUMITRA J MEHTA

Original Issue Date

07/19/2000

Effective Date

07/19/2000

Expiration Date

03/31/2005

City

HANOVER PARK

State

Zip

60133

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005