DAXA N PATEL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170397

License Status

INACTIVE

Business

First Name

DAXA

Middle

Last Name

PATEL

Business Name

DAXA N PATEL

Original Issue Date

08/03/2006

Effective Date

01/10/2011

Expiration Date

03/31/2012

City

GLENVIEW

State

Zip

60026

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2012