TRISHA ELISE SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122109

License Status

NOT RENEWED

Business

First Name

TRISHA

Middle

ELISE

Last Name

SHAW

Business Name

TRISHA ELISE SHAW

Original Issue Date

07/28/1998

Effective Date

03/16/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60616

Ever Disciplined

LastModifiedDate

05/04/2010