SHIDHARTH K PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163820

License Status

NOT RENEWED

Business

First Name

SHIDHARTH

Middle

Last Name

PATEL

Business Name

SHIDHARTH K PATEL

Original Issue Date

09/13/2005

Effective Date

03/06/2012

Expiration Date

03/31/2013

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013