MALLIKA A PATEL MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204386

License Status

NOT RENEWED

Business

Title

First Name

MALLIKA

Middle

Last Name

PATEL

Business Name

MALLIKA A PATEL MD

Original Issue Date

05/25/2011

Effective Date

02/27/2012

Expiration Date

03/31/2013

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/22/2014