SHAUNTAE LATRICE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136235

License Status

NOT RENEWED

Business

First Name

SHAUNTAE

Middle

LATRICE

Last Name

SMITH

Business Name

SHAUNTAE LATRICE SMITH

Original Issue Date

05/08/2001

Effective Date

02/05/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008