KIMBERLY D SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130360

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

SHAW

Business Name

KIMBERLY D SHAW

Original Issue Date

04/03/2000

Effective Date

04/03/2000

Expiration Date

03/31/2001

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005