FAYAZ ALI SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200605

License Status

NOT RENEWED

Business

First Name

FAYAZ

Middle

ALI

Last Name

SHAH

Business Name

FAYAZ ALI SHAH

Original Issue Date

09/17/2010

Effective Date

03/21/2011

Expiration Date

03/31/2012

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

05/07/2012