DITI N SHAH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167990

License Status

INACTIVE

Business

First Name

DITI

Middle

Last Name

SHAH

Business Name

DITI N SHAH

Original Issue Date

04/20/2006

Effective Date

03/11/2009

Expiration Date

03/31/2010

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2010