MALIK K ATA MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238173

License Status

NOT RENEWED

Business

Title

First Name

MALIK

Middle

Last Name

ATA

Prefix

Business Name

MALIK K ATA MD

Original Issue Date

12/03/2015

Effective Date

12/03/2015

Expiration Date

03/31/2016

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016