TERESA ANN SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107009

License Status

NOT RENEWED

Business

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

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

10/21/2005