DIPTI SHAH - Pharmacist License in Illinois | # 049156656

DIPTI SHAH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156656

License Status

NOT RENEWED

Business

N

First Name

DIPTI

Last Name

SHAH

Business Name

DIPTI SHAH

Original Issue Date

08/16/2004

Effective Date

02/16/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011