ROBERTA SHOCKET - Pharmacist License in Illinois | # 049063953

ROBERTA SHOCKET

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063953

License Status

NOT RENEWED

Business

N

First Name

ROBERTA

Last Name

SHOCKET

Business Name

ROBERTA SHOCKET

Original Issue Date

07/18/1975

Effective Date

07/18/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005