SAMIP C VASAIWALA MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111324

License Status

NOT RENEWED

Business

First Name

SAMIP

Middle

Last Name

VASAIWALA

Suffix

Business Name

SAMIP C VASAIWALA MD

Original Issue Date

07/27/1995

Effective Date

07/27/1995

Expiration Date

03/31/1999

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005