SHANTE NICOLE BERRY - Pharmacist License in Illinois | # 049151339

SHANTE NICOLE BERRY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151339

License Status

NOT RENEWED

Business

N

First Name

SHANTE

Middle

NICOLE

Last Name

BERRY

Business Name

SHANTE NICOLE BERRY

Original Issue Date

10/07/2003

Effective Date

10/07/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005