DAVIDA E SHEPARD - Pharmacist License in Illinois | # 049058102

DAVIDA E SHEPARD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058102

License Status

NOT RENEWED

Business

N

First Name

DAVIDA E

Last Name

SHEPARD

Business Name

DAVIDA E SHEPARD

Original Issue Date

07/15/1972

Effective Date

07/15/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005