KETKI J SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141091

License Status

NOT RENEWED

Business

First Name

KETKI

Middle

Last Name

SHAH

Business Name

KETKI J SHAH

Original Issue Date

03/01/2002

Effective Date

04/01/2016

Expiration Date

03/31/2017

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2017