SHAD JASON SUTHERLAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116033

License Status

NOT RENEWED

Business

First Name

SHAD

Middle

JASON

Last Name

SUTHERLAND

Business Name

SHAD JASON SUTHERLAND

Original Issue Date

11/20/1996

Effective Date

11/20/1996

Expiration Date

03/31/1998

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005