NIKI K SHUKLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104538

License Status

NOT RENEWED

Business

First Name

NIKI K

Last Name

SHUKLA

Business Name

NIKI K SHUKLA

Original Issue Date

09/16/1993

Effective Date

09/16/1993

Expiration Date

03/31/1994

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005