MECHELLE R SHACKELFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100994

License Status

NOT RENEWED

Business

First Name

MECHELLE R

Last Name

SHACKELFORD

Business Name

MECHELLE R SHACKELFORD

Original Issue Date

08/13/1992

Effective Date

08/13/1992

Expiration Date

03/31/2001

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005