MOUSAMI S SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133980

License Status

NOT RENEWED

Business

First Name

MOUSAMI

Middle

Last Name

SHAH

Business Name

MOUSAMI S SHAH

Original Issue Date

12/12/2000

Effective Date

12/12/2000

Expiration Date

03/31/2002

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005