NIRAJ YATIN SHAH MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154964

License Status

NOT RENEWED

Business

Title

First Name

NIRAJ

Middle

YATIN

Last Name

SHAH

Business Name

NIRAJ YATIN SHAH MD

Original Issue Date

06/11/2004

Effective Date

06/11/2004

Expiration Date

03/31/2005

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005