AMY KATHLEEN SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123242

License Status

NOT RENEWED

Business

First Name

AMY

Middle

KATHLEEN

Last Name

SHAW

Business Name

AMY KATHLEEN SHAW

Original Issue Date

10/16/1998

Effective Date

03/31/2010

Expiration Date

03/31/2011

City

ARCOLA

State

Zip

61910

County

DOUGLAS

Ever Disciplined

LastModifiedDate

05/12/2011