SAMRAT V SHAH - Pharmacist License in Illinois | # 049117612

SAMRAT V SHAH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117612

License Status

NOT RENEWED

Business

N

First Name

SAMRAT

Middle

V

Last Name

SHAH

Business Name

SAMRAT V SHAH

Original Issue Date

05/16/1997

Effective Date

05/16/1997

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005