GAUTAM SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075242

License Status

NOT RENEWED

Business

First Name

GAUTAM

Last Name

SHAH

Business Name

GAUTAM SHAH

Original Issue Date

08/24/1981

Effective Date

08/24/1981

Expiration Date

03/31/1987

City

STREAMWOOD

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005