SHILPA BAXAMUSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091191

License Status

NOT RENEWED

Business

First Name

SHILPA

Last Name

BAXAMUSA

Business Name

SHILPA BAXAMUSA

Original Issue Date

09/21/1989

Effective Date

09/21/1989

Expiration Date

03/31/1995

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005