DAVE B SHAH DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229157

License Status

NOT RENEWED

Business

Title

First Name

DAVE

Middle

Last Name

SHAH

Prefix

Business Name

DAVE B SHAH DO

Original Issue Date

11/11/2014

Effective Date

01/13/2015

Expiration Date

03/31/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016