AVANI ASHOK SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157412

License Status

NOT RENEWED

Business

First Name

AVANI

Middle

ASHOK

Last Name

SHAH

Business Name

AVANI ASHOK SHAH

Original Issue Date

10/12/2004

Effective Date

10/12/2004

Expiration Date

03/31/2006

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006