NISARG A SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155038

License Status

NOT RENEWED

Business

First Name

NISARG

Middle

Last Name

SHAH

Business Name

NISARG A SHAH

Original Issue Date

06/11/2004

Effective Date

02/23/2015

Expiration Date

03/31/2016

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016