KAUSHAMBI K SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069379

License Status

NOT RENEWED

Business

First Name

KAUSHAMBI K

Last Name

SHAH

Business Name

KAUSHAMBI K SHAH

Original Issue Date

05/19/1978

Effective Date

03/11/2015

Expiration Date

03/31/2016

City

BURR RIDGE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016