SONG JA SHIN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061911

License Status

CANCELLED

Business

First Name

SONG JA

Last Name

SHIN

Business Name

SONG JA SHIN

Original Issue Date

07/12/1974

Effective Date

07/12/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2007