POORVI M SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122788

License Status

NOT RENEWED

Business

First Name

POORVI

Middle

Last Name

SHAH

Business Name

POORVI M SHAH

Original Issue Date

09/09/1998

Effective Date

09/09/1998

Expiration Date

03/31/2003

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005