PIYUSHKUMAR SHANTILAL SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225003

License Status

NOT RENEWED

Business

First Name

PIYUSHKUMAR

Middle

SHANTILAL

Last Name

SHAH

Business Name

PIYUSHKUMAR SHANTILAL SHAH

Original Issue Date

05/05/2014

Effective Date

03/16/2015

Expiration Date

03/31/2016

City

HAINESVILLE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016