Pharmacist
REGISTERED PHARMACIST
051033224
INACTIVE
N
NATU
PATEL
NATU PATEL
08/05/1980
02/10/2014
03/31/2016
MOKENA
IL
60448
WILL
Y
10/29/2016
2014005947
Refuse To Renew
10/20/2016
after failed to notify the Department of the closing of Ideal Pharmacy within 30 days.