KSHAMA N DEKHTAWALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100885

License Status

NOT RENEWED

Business

First Name

KSHAMA

Middle

Last Name

DEKHTAWALA

Business Name

KSHAMA N DEKHTAWALA

Original Issue Date

08/03/1992

Effective Date

08/03/1992

Expiration Date

03/31/1999

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005