SAMIR R PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149958

License Status

NOT RENEWED

Business

First Name

SAMIR

Middle

Last Name

PATEL

Business Name

SAMIR R PATEL

Original Issue Date

08/19/2003

Effective Date

08/19/2003

Expiration Date

03/31/2006

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006