MIRIAM YVONNE VELDT MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135770

License Status

NOT RENEWED

Business

Title

First Name

MIRIAM

Middle

YVONNE

Last Name

VELDT

Business Name

MIRIAM YVONNE VELDT MD

Original Issue Date

04/10/2001

Effective Date

04/10/2001

Expiration Date

03/31/2004

City

ELGIN

State

Zip

60120

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005