PATRICE SHORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101453

License Status

NOT RENEWED

Business

First Name

PATRICE

Last Name

SHORT

Business Name

PATRICE SHORT

Original Issue Date

10/06/1992

Effective Date

10/06/1992

Expiration Date

03/31/1995

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005