PREM SHUKLA - Pharmacist License in Illinois | # 049268772

PREM SHUKLA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268772

License Status

NOT RENEWED

Business

N

First Name

PREM

Last Name

SHUKLA

Business Name

PREM SHUKLA

Original Issue Date

10/21/2019

Effective Date

10/21/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021