JAY BHAGAVATI SHAH DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230233

License Status

NOT RENEWED

Business

Title

First Name

JAY

Middle

BHAGAVATI

Last Name

SHAH

Prefix

Business Name

JAY BHAGAVATI SHAH DO

Original Issue Date

01/02/2015

Effective Date

01/02/2015

Expiration Date

03/31/2016

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016