PRIYA VIJAY FAFAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148141

License Status

NOT RENEWED

Business

First Name

PRIYA

Middle

VIJAY

Last Name

FAFAT

Business Name

PRIYA VIJAY FAFAT

Original Issue Date

04/17/2003

Effective Date

04/17/2003

Expiration Date

03/31/2004

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005