PURVI A MEHTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170651

License Status

NOT RENEWED

Business

First Name

PURVI

Middle

Last Name

MEHTA

Business Name

PURVI A MEHTA

Original Issue Date

08/16/2006

Effective Date

08/16/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007