MANDA J SHAH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216891

License Status

INACTIVE

Business

First Name

MANDA

Middle

Last Name

SHAH

Business Name

MANDA J SHAH

Original Issue Date

03/28/2013

Effective Date

06/04/2015

Expiration Date

03/31/2016

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

07/07/2015