PATRICE SHORT - Pharmacist License in Illinois | # 049101453

PATRICE SHORT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101453

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005