VIRTA S PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177089

License Status

NOT RENEWED

Business

First Name

VIRTA

Middle

Last Name

PATEL

Business Name

VIRTA S PATEL

Original Issue Date

06/15/2007

Effective Date

08/16/2011

Expiration Date

03/31/2012

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/07/2012