MITA M SHAH - Pharmacist License in Illinois | # 049121325

MITA M SHAH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121325

License Status

NOT RENEWED

Business

N

First Name

MITA

Middle

M

Last Name

SHAH

Business Name

MITA M SHAH

Original Issue Date

06/05/1998

Effective Date

07/21/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011