TERESA ANN SHAW - Pharmacist License in Illinois | # 049107009

TERESA ANN SHAW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107009

License Status

NOT RENEWED

Business

N

First Name

TERESA

Middle

ANN

Last Name

SHAW

Business Name

TERESA ANN SHAW

Original Issue Date

05/27/1994

Effective Date

05/27/1994

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005