VIVEK R PATEL MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158417

License Status

NOT RENEWED

Business

Title

First Name

VIVEK

Middle

Last Name

PATEL

Business Name

VIVEK R PATEL MD

Original Issue Date

12/16/2004

Effective Date

12/16/2004

Expiration Date

03/31/2006

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006