SHELLY MACK EDMONDSON - Pharmacist License in Illinois | # 049066902

SHELLY MACK EDMONDSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066902

License Status

NOT RENEWED

Business

N

First Name

SHELLY MACK

Last Name

EDMONDSON

Business Name

SHELLY MACK EDMONDSON

Original Issue Date

03/11/1977

Effective Date

03/11/1977

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005