SHANNON MYRA DAVID Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129882

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

MYRA

Last Name

DAVID

Business Name

SHANNON MYRA DAVID

Original Issue Date

03/09/2000

Effective Date

03/09/2000

Expiration Date

03/31/2001

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005