VRAJ R PATEL DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214955

License Status

NOT RENEWED

Business

Title

First Name

VRAJ

Middle

Last Name

PATEL

Prefix

Business Name

VRAJ R PATEL DO

Original Issue Date

12/09/2012

Effective Date

12/09/2012

Expiration Date

03/31/2013

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013