THOMAS GLENN SHEPARD - Pharmacist License in Illinois | # 049090972

THOMAS GLENN SHEPARD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090972

License Status

NOT RENEWED

Business

N

First Name

THOMAS

Middle

GLENN

Last Name

SHEPARD

Business Name

THOMAS GLENN SHEPARD

Original Issue Date

08/23/1989

Effective Date

08/23/1989

Expiration Date

03/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005