BIREN S SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149304

License Status

NOT RENEWED

Business

First Name

BIREN

Middle

Last Name

SHAH

Business Name

BIREN S SHAH

Original Issue Date

06/27/2003

Effective Date

05/01/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

05/14/2007