SHIVANI MAHENDRA BRAHMBHATT - Pharmacist License in Illinois | # 049262931

SHIVANI MAHENDRA BRAHMBHATT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262931

License Status

NOT RENEWED

Business

N

First Name

SHIVANI

Middle

MAHENDRA

Last Name

BRAHMBHATT

Business Name

SHIVANI MAHENDRA BRAHMBHATT

Original Issue Date

01/29/2019

Effective Date

01/29/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021