DANIEL JAMES SHACKELFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076097

License Status

NOT RENEWED

Business

First Name

DANIEL JAMES

Last Name

SHACKELFORD

Business Name

DANIEL JAMES SHACKELFORD

Original Issue Date

02/26/1982

Effective Date

02/26/1982

Expiration Date

03/31/1988

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005