MITA M SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121325

License Status

NOT RENEWED

Business

First Name

MITA

Middle

Last Name

SHAH

Business Name

MITA M SHAH

Original Issue Date

06/05/1998

Effective Date

07/21/2010

Expiration Date

03/31/2011

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011