TAMICA SHAFAE ELLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126125

License Status

NOT RENEWED

Business

First Name

TAMICA

Middle

SHAFAE

Last Name

ELLIS

Business Name

TAMICA SHAFAE ELLIS

Original Issue Date

06/01/1999

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

08/28/2008

Case Number

2007004419

Action

Revocation

Discipline Start Date

08/28/2008

Discipline Reason

Diverting and possessing controlled substances without prescription authorization.