SONJA R SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127534

License Status

NOT RENEWED

Business

First Name

SONJA

Middle

Last Name

SHAW

Business Name

SONJA R SHAW

Original Issue Date

09/21/1999

Effective Date

09/21/1999

Expiration Date

03/31/2000

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005