RUCHIT D SHAH MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166910

License Status

NOT RENEWED

Business

Title

First Name

RUCHIT

Middle

Last Name

SHAH

Business Name

RUCHIT D SHAH MD

Original Issue Date

03/21/2006

Effective Date

03/21/2006

Expiration Date

03/31/2007

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007