NIKITA N SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152698

License Status

NOT RENEWED

Business

First Name

NIKITA

Middle

Last Name

SHAH

Business Name

NIKITA N SHAH

Original Issue Date

12/23/2003

Effective Date

12/23/2003

Expiration Date

03/31/2005

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005