CHAITALI A KINKHABWALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156266

License Status

NOT RENEWED

Business

First Name

CHAITALI

Middle

Last Name

KINKHABWALA

Business Name

CHAITALI A KINKHABWALA

Original Issue Date

07/28/2004

Effective Date

07/28/2004

Expiration Date

03/31/2005

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005