KETANKUMAR SHAILESHKUNA PATHAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169455

License Status

NOT RENEWED

Business

First Name

KETANKUMAR

Middle

SHAILESHKUNA

Last Name

PATHAK

Business Name

KETANKUMAR SHAILESHKUNA PATHAK

Original Issue Date

06/21/2006

Effective Date

03/20/2009

Expiration Date

03/31/2010

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010