ANGELA HARRELL-SHADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114517

License Status

NOT RENEWED

Business

First Name

ANGELA

Last Name

HARRELL-SHADE

Business Name

ANGELA HARRELL-SHADE

Original Issue Date

07/01/1996

Effective Date

07/01/1996

Expiration Date

03/31/1998

City

MATTESON

State

Zip

60443

Ever Disciplined

LastModifiedDate

10/17/2005