SHOEB J SITAFALWALLA MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137639

License Status

NOT RENEWED

Business

Title

First Name

SHOEB

Middle

Last Name

SITAFALWALLA

Business Name

SHOEB J SITAFALWALLA MD

Original Issue Date

08/09/2001

Effective Date

08/09/2001

Expiration Date

03/31/2004

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005