EKTA S SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220310

License Status

NOT RENEWED

Business

First Name

EKTA

Middle

Last Name

SHAH

Prefix

Business Name

EKTA S SHAH

Original Issue Date

08/26/2013

Effective Date

03/11/2016

Expiration Date

03/31/2017

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017