PAYAL P SURATI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159799

License Status

NOT RENEWED

Business

First Name

PAYAL

Middle

Last Name

SURATI

Business Name

PAYAL P SURATI

Original Issue Date

03/31/2005

Effective Date

03/31/2005

Expiration Date

03/31/2006

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006