KAUSTUBH G SHUKLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073014

License Status

NOT RENEWED

Business

First Name

KAUSTUBH G

Last Name

SHUKLA

Business Name

KAUSTUBH G SHUKLA

Original Issue Date

05/23/1980

Effective Date

05/23/1980

Expiration Date

03/31/1986

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005