SHAW JEN JEN - Pharmacist License in Illinois | # 049063016

SHAW JEN JEN

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063016

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005