DONITA MICHELLE SHEPHERD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137374

License Status

NOT RENEWED

Business

First Name

DONITA

Middle

MICHELLE

Last Name

SHEPHERD

Business Name

DONITA MICHELLE SHEPHERD

Original Issue Date

07/26/2001

Effective Date

07/26/2001

Expiration Date

03/31/2005

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005