GENNINE M SHAW - Pharmacist License in Illinois | # 049079158

GENNINE M SHAW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079158

License Status

NOT RENEWED

Business

N

First Name

GENNINE M

Last Name

SHAW

Business Name

GENNINE M SHAW

Original Issue Date

11/03/1983

Effective Date

08/01/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012