INDIRIA SHAWN NATHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127087

License Status

NOT RENEWED

Business

First Name

INDIRIA

Middle

SHAWN

Last Name

NATHAN

Business Name

INDIRIA SHAWN NATHAN

Original Issue Date

08/20/1999

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

WADSWORTH

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2008