DIVYABEN J PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177111

License Status

NOT RENEWED

Business

First Name

DIVYABEN

Middle

Last Name

PATEL

Business Name

DIVYABEN J PATEL

Original Issue Date

06/15/2007

Effective Date

01/20/2009

Expiration Date

03/31/2010

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/04/2010