JACENA SHAUNETTA ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131444

License Status

NOT RENEWED

Business

First Name

JACENA

Middle

SHAUNETTA

Last Name

ANDERSON

Business Name

JACENA SHAUNETTA ANDERSON

Original Issue Date

07/05/2000

Effective Date

07/05/2000

Expiration Date

03/31/2004

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005