MITSU Y SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161525

License Status

NOT RENEWED

Business

First Name

MITSU

Middle

Last Name

SHAH

Business Name

MITSU Y SHAH

Original Issue Date

06/06/2005

Effective Date

06/06/2005

Expiration Date

03/31/2006

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006