SUJATA P SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175550

License Status

NOT RENEWED

Business

First Name

SUJATA

Middle

Last Name

SHAH

Business Name

SUJATA P SHAH

Original Issue Date

04/12/2007

Effective Date

03/07/2014

Expiration Date

03/31/2015

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/11/2015