PURVY J SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131252

License Status

NOT RENEWED

Business

First Name

PURVY

Middle

Last Name

SHAH

Business Name

PURVY J SHAH

Original Issue Date

06/19/2000

Effective Date

06/19/2000

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005