SHANNON L HAZLEHURST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127265

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

HAZLEHURST

Business Name

SHANNON L HAZLEHURST

Original Issue Date

09/01/1999

Effective Date

09/01/1999

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005