DOUGLAS W SHAFER - Pharmacist License in Illinois | # 049064739

DOUGLAS W SHAFER

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064739

License Status

CANCELLED

Business

N

First Name

DOUGLAS W

Last Name

SHAFER

Business Name

DOUGLAS W SHAFER

Original Issue Date

01/16/1976

Effective Date

01/16/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005