PRATIK S RANDERIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162401

License Status

NOT RENEWED

Business

First Name

PRATIK

Middle

Last Name

RANDERIA

Business Name

PRATIK S RANDERIA

Original Issue Date

07/21/2005

Effective Date

07/21/2005

Expiration Date

03/31/2006

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006