ANNA M SHACKELFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095208

License Status

NOT RENEWED

Business

First Name

ANNA M

Last Name

SHACKELFORD

Business Name

ANNA M SHACKELFORD

Original Issue Date

12/01/1990

Effective Date

12/01/1990

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005