MITUL N SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158622

License Status

NOT RENEWED

Business

First Name

MITUL

Middle

Last Name

SHAH

Business Name

MITUL N SHAH

Original Issue Date

12/27/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007