SHIVALI DAVE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192745

License Status

NOT RENEWED

Business

First Name

SHIVALI

Last Name

DAVE

Business Name

SHIVALI DAVE

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

03/31/2010

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010