AMANDA SHACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099375

License Status

NOT RENEWED

Business

First Name

AMANDA

Last Name

SHACK

Business Name

AMANDA SHACK

Original Issue Date

02/11/1992

Effective Date

02/05/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017