SHAD JASON SUTHERLAND - Pharmacist License in Illinois | # 049116033

SHAD JASON SUTHERLAND

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116033

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005