KAUSTUBH G SHUKLA - Pharmacist License in Illinois | # 049073014

KAUSTUBH G SHUKLA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073014

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005