CAMILLE D SHEPARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080339

License Status

NOT RENEWED

Business

First Name

CAMILLE D

Last Name

SHEPARD

Business Name

CAMILLE D SHEPARD

Original Issue Date

10/09/1984

Effective Date

10/09/1984

Expiration Date

03/31/1990

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005