SHANTA WYVETTE SPENCER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136442

License Status

NOT RENEWED

Business

First Name

SHANTA

Middle

WYVETTE

Last Name

SPENCER

Business Name

SHANTA WYVETTE SPENCER

Original Issue Date

05/25/2001

Effective Date

12/26/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013