MANDA J SHAH - Pharmacist License in Illinois | # 049216891

MANDA J SHAH

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216891

License Status

INACTIVE

Business

N

First Name

MANDA

Middle

J

Last Name

SHAH

Business Name

MANDA J SHAH

Original Issue Date

03/28/2013

Effective Date

06/04/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/07/2015