THERESA SHAWNTEL BERRY - Pharmacist License in Illinois | # 049154973

THERESA SHAWNTEL BERRY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154973

License Status

NOT RENEWED

Business

N

First Name

THERESA

Middle

SHAWNTEL

Last Name

BERRY

Business Name

THERESA SHAWNTEL BERRY

Original Issue Date

06/11/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007