DIPAK S SHAH Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067446

License Status

CANCELLED

Business

First Name

DIPAK S

Last Name

SHAH

Business Name

DIPAK S SHAH

Original Issue Date

06/03/1977

Effective Date

06/03/1977

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005