SHIVANI ASHVIN SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138779

License Status

NOT RENEWED

Business

First Name

SHIVANI

Middle

ASHVIN

Last Name

SHAH

Business Name

SHIVANI ASHVIN SHAH

Original Issue Date

10/22/2001

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/02/2008