TARAK AMBALAL PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147261

License Status

NOT RENEWED

Business

First Name

TARAK

Middle

AMBALAL

Last Name

PATEL

Business Name

TARAK AMBALAL PATEL

Original Issue Date

03/05/2003

Effective Date

12/01/2010

Expiration Date

03/31/2011

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011