AMANDA SHACK - Pharmacist License in Illinois | # 049099375

AMANDA SHACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099375

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017