KEITH A SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067742

License Status

NOT RENEWED

Business

First Name

KEITH A

Last Name

SHAW

Business Name

KEITH A SHAW

Original Issue Date

07/08/1977

Effective Date

07/08/1977

Expiration Date

01/01/1997

City

WOODRIDGE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005