FORAM S SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118437

License Status

NOT RENEWED

Business

First Name

FORAM

Middle

Last Name

SHAH

Business Name

FORAM S SHAH

Original Issue Date

08/08/1997

Effective Date

08/08/1997

Expiration Date

03/31/2005

City

HOFFMAN ESTATES

State

Zip

60194

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005