PAYAL R PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253477

License Status

NOT RENEWED

Business

First Name

PAYAL

Middle

Last Name

PATEL

Business Name

PAYAL R PATEL

Original Issue Date

10/02/2017

Effective Date

03/22/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019