SIYA R PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294738

License Status

NOT RENEWED

Business

First Name

SIYA

Middle

Last Name

PATEL

Business Name

SIYA R PATEL

Original Issue Date

08/06/2022

Effective Date

08/06/2022

Expiration Date

03/31/2023

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/07/2023