DANIEL JAMES SHACKELFORD - Pharmacist License in Illinois | # 049076097

DANIEL JAMES SHACKELFORD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076097

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005