VIKRAM PRAVINCHA SHAH Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068895

License Status

CANCELLED

Business

First Name

VIKRAM PRAVINCHA

Last Name

SHAH

Business Name

VIKRAM PRAVINCHA SHAH

Original Issue Date

02/24/1978

Effective Date

02/24/1978

Expiration Date

01/01/1997

City

GLENDALE HEIGHTS

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005