RAVI M SHAH MD - Pharmacist License in Illinois | # 049195606

RAVI M SHAH MD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195606

License Status

NOT RENEWED

Business

N

Title

MD

First Name

RAVI

Middle

M

Last Name

SHAH

Prefix

MR

Business Name

RAVI M SHAH MD

Original Issue Date

11/29/2009

Effective Date

11/29/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010