PAYAL P SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119315

License Status

NOT RENEWED

Business

First Name

PAYAL

Middle

Last Name

SHAH

Business Name

PAYAL P SHAH

Original Issue Date

11/10/1997

Effective Date

11/10/1997

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005