SMITA R PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035462

License Status

NOT RENEWED

Business

First Name

SMITA R

Last Name

PATEL

Business Name

SMITA R PATEL

Original Issue Date

09/05/1984

Effective Date

09/05/1984

Expiration Date

03/31/1994

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005