JAYANT S SHAH Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063361

License Status

CANCELLED

Business

First Name

JAYANT S

Last Name

SHAH

Business Name

JAYANT S SHAH

Original Issue Date

05/02/1975

Effective Date

05/02/1975

Expiration Date

01/01/1997

City

CICERO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005