LARRY JOHN SHUTACK - Pharmacist License in Illinois | # 049058828

LARRY JOHN SHUTACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058828

License Status

NOT RENEWED

Business

N

First Name

LARRY JOHN

Last Name

SHUTACK

Business Name

LARRY JOHN SHUTACK

Original Issue Date

12/09/1972

Effective Date

12/09/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005