RAVI M SHUKLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174395

License Status

NOT RENEWED

Business

First Name

RAVI

Middle

Last Name

SHUKLA

Business Name

RAVI M SHUKLA

Original Issue Date

02/22/2007

Effective Date

02/22/2007

Expiration Date

03/31/2008

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008