DEBRA A SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063321

License Status

NOT RENEWED

Business

First Name

DEBRA A

Last Name

SHAW

Business Name

DEBRA A SHAW

Original Issue Date

04/18/1975

Effective Date

04/18/1975

Expiration Date

01/01/1997

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005