SHIVANI R PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161924

License Status

NOT RENEWED

Business

First Name

SHIVANI

Middle

Last Name

PATEL

Business Name

SHIVANI R PATEL

Original Issue Date

06/24/2005

Effective Date

03/02/2011

Expiration Date

03/31/2012

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012