TANESHA P SHEPHERD - Pharmacist License in Illinois | # 049128704

TANESHA P SHEPHERD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128704

License Status

NOT RENEWED

Business

N

First Name

TANESHA

Middle

P

Last Name

SHEPHERD

Business Name

TANESHA P SHEPHERD

Original Issue Date

12/22/1999

Effective Date

12/22/1999

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005