KHYATI P KOTAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164777

License Status

NOT RENEWED

Business

First Name

KHYATI

Middle

Last Name

KOTAK

Business Name

KHYATI P KOTAK

Original Issue Date

11/03/2005

Effective Date

02/16/2011

Expiration Date

03/31/2012

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012