MITAL SURESH PATEL SPATZ DDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125152

License Status

NOT RENEWED

Business

Title

DDS

First Name

MITAL

Middle

SURESH PATEL

Last Name

SPATZ

Business Name

MITAL SURESH PATEL SPATZ DDS

Original Issue Date

03/26/1999

Effective Date

03/26/1999

Expiration Date

03/31/2000

City

WEST LAFAYETTE

State

Zip

47906

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005