ANITA J SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148799

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

Last Name

SHAH

Business Name

ANITA J SHAH

Original Issue Date

06/12/2003

Effective Date

06/12/2003

Expiration Date

03/31/2005

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005