RUPAK CHAMPAK SHAH - Pharmacist License in Illinois | # 049132772

RUPAK CHAMPAK SHAH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132772

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005