SHITAL S PATEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289188

License Status

NOT RENEWED

Business

First Name

SHITAL

Middle

Last Name

PATEL

Business Name

SHITAL S PATEL

Original Issue Date

10/23/2002

Effective Date

10/23/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005