SHIVA VATANKHAHI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143653

License Status

NOT RENEWED

Business

First Name

SHIVA

Last Name

VATANKHAHI

Business Name

SHIVA VATANKHAHI

Original Issue Date

07/15/2002

Effective Date

07/15/2002

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005