LARRY JOHN SHUTACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058828

License Status

NOT RENEWED

Business

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

City

JOLIET

State

Zip

60432

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005