DAXA R PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169192

License Status

NOT RENEWED

Business

First Name

DAXA

Middle

Last Name

PATEL

Business Name

DAXA R PATEL

Original Issue Date

06/08/2006

Effective Date

06/08/2006

Expiration Date

03/31/2007

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/14/2007