RAVI M SHAH MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195606

License Status

NOT RENEWED

Business

Title

First Name

RAVI

Middle

Last Name

SHAH

Prefix

Business Name

RAVI M SHAH MD

Original Issue Date

11/29/2009

Effective Date

11/29/2009

Expiration Date

03/31/2010

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010