SHAUN DANIEL CUSACK - Pharmacist License in Illinois | # 049122367

SHAUN DANIEL CUSACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122367

License Status

NOT RENEWED

Business

N

First Name

SHAUN

Middle

DANIEL

Last Name

CUSACK

Business Name

SHAUN DANIEL CUSACK

Original Issue Date

08/07/1998

Effective Date

08/07/1998

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005