JAYMIN R SHAH DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102904

License Status

NOT RENEWED

Business

Title

First Name

JAYMIN

Middle

Last Name

SHAH

Business Name

JAYMIN R SHAH DO

Original Issue Date

03/30/1993

Effective Date

03/30/1993

Expiration Date

03/31/1999

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005