PUSHPALATA M SHAH - Pharmacist License in Illinois | # 049099483

PUSHPALATA M SHAH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099483

License Status

NOT RENEWED

Business

N

First Name

PUSHPALATA M

Last Name

SHAH

Business Name

PUSHPALATA M SHAH

Original Issue Date

02/26/1992

Effective Date

02/26/1992

Expiration Date

03/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005