NIVA S SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107263

License Status

NOT RENEWED

Business

First Name

NIVA

Middle

Last Name

SHAH

Business Name

NIVA S SHAH

Original Issue Date

06/21/1994

Effective Date

06/21/1994

Expiration Date

03/31/2000

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005