RONAK CHAMPAK SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113332

License Status

NOT RENEWED

Business

First Name

RONAK CHAMPAK

Last Name

SHAH

Business Name

RONAK CHAMPAK SHAH

Original Issue Date

02/05/1996

Effective Date

02/05/1996

Expiration Date

03/31/1997

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005