FORAM S SHAH - Pharmacist License in Illinois | # 049118437

FORAM S SHAH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118437

License Status

NOT RENEWED

Business

N

First Name

FORAM

Middle

S

Last Name

SHAH

Business Name

FORAM S SHAH

Original Issue Date

08/08/1997

Effective Date

08/08/1997

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005