RUPAK CHAMPAK SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132772

License Status

NOT RENEWED

Business

First Name

RUPAK

Middle

CHAMPAK

Last Name

SHAH

Business Name

RUPAK CHAMPAK SHAH

Original Issue Date

09/20/2000

Effective Date

09/20/2000

Expiration Date

03/31/2001

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005