PRASAD B PATEL MD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145308

License Status

INACTIVE

Business

Title

First Name

PRASAD

Middle

Last Name

PATEL

Business Name

PRASAD B PATEL MD

Original Issue Date

10/16/2002

Effective Date

03/10/2011

Expiration Date

03/31/2012

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2012