TANESHA P SHEPHERD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128704

License Status

NOT RENEWED

Business

First Name

TANESHA

Middle

Last Name

SHEPHERD

Business Name

TANESHA P SHEPHERD

Original Issue Date

12/22/1999

Effective Date

12/22/1999

Expiration Date

03/31/2005

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005