SHIQUILLA MARIE POLK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135846

License Status

NOT RENEWED

Business

First Name

SHIQUILLA

Middle

MARIE

Last Name

POLK

Business Name

SHIQUILLA MARIE POLK

Original Issue Date

04/12/2001

Effective Date

03/21/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012