SHALLY RAJPUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208204

License Status

NOT RENEWED

Business

First Name

SHALLY

Last Name

RAJPUT

Business Name

SHALLY RAJPUT

Original Issue Date

12/09/2011

Effective Date

12/09/2011

Expiration Date

03/31/2012

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012