KULSOOM QAYYUM SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156391

License Status

NOT RENEWED

Business

First Name

KULSOOM

Middle

QAYYUM

Last Name

SHAH

Business Name

KULSOOM QAYYUM SHAH

Original Issue Date

08/04/2004

Effective Date

08/04/2004

Expiration Date

03/31/2005

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005