PAYAL A PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139538

License Status

NOT RENEWED

Business

First Name

PAYAL

Middle

Last Name

PATEL

Business Name

PAYAL A PATEL

Original Issue Date

12/07/2001

Effective Date

12/07/2001

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005