BIJAL R SHAH MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145537

License Status

NOT RENEWED

Business

Title

First Name

BIJAL

Middle

Last Name

SHAH

Business Name

BIJAL R SHAH MD

Original Issue Date

10/25/2002

Effective Date

10/25/2002

Expiration Date

03/31/2004

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005