MUMTAZ MUBARAK ALI PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149409

License Status

NOT RENEWED

Business

First Name

MUMTAZ MUBARAK

Middle

ALI

Last Name

PATEL

Business Name

MUMTAZ MUBARAK ALI PATEL

Original Issue Date

07/02/2003

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022