SHAWN R BONVILLAIN - Pharmacist License in Illinois | # 049170629

SHAWN R BONVILLAIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170629

License Status

NOT RENEWED

Business

N

First Name

SHAWN

Middle

R

Last Name

BONVILLAIN

Business Name

SHAWN R BONVILLAIN

Original Issue Date

08/15/2006

Effective Date

03/01/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011