BHAVANA A SHAH Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071852

License Status

CANCELLED

Business

First Name

BHAVANA A

Last Name

SHAH

Business Name

BHAVANA A SHAH

Original Issue Date

09/07/1979

Effective Date

09/07/1979

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005