PRAVINCHANDRA M SHAH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032395

License Status

INACTIVE

Business

First Name

PRAVINCHANDRA M

Last Name

SHAH

Business Name

PRAVINCHANDRA M SHAH

Original Issue Date

08/17/1978

Effective Date

03/12/2018

Expiration Date

09/30/2020

City

NORRIDGE

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

01/04/2020