KIM M SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081105

License Status

NOT RENEWED

Business

First Name

KIM M

Last Name

SHAW

Business Name

KIM M SHAW

Original Issue Date

06/12/1985

Effective Date

06/12/1985

Expiration Date

03/31/1986

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005