SHAW JEN JEN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063016

License Status

CANCELLED

Business

First Name

SHAW JEN

Last Name

JEN

Business Name

SHAW JEN JEN

Original Issue Date

02/28/1975

Effective Date

02/28/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005