KALA A SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101245

License Status

NOT RENEWED

Business

First Name

KALA A

Last Name

SHAH

Business Name

KALA A SHAH

Original Issue Date

09/14/1992

Effective Date

09/14/1992

Expiration Date

03/31/2001

City

JEFFERSON

State

Zip

53549

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005