PERLA C SHAH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060479

License Status

INACTIVE

Business

First Name

PERLA

Middle

Last Name

SHAH

Business Name

PERLA C SHAH

Original Issue Date

10/15/1973

Effective Date

03/16/2010

Expiration Date

03/31/2011

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

01/05/2011