JACKIE L SHEPARD - Pharmacist License in Illinois | # 049137743

JACKIE L SHEPARD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137743

License Status

NOT RENEWED

Business

N

First Name

JACKIE

Middle

L

Last Name

SHEPARD

Business Name

JACKIE L SHEPARD

Original Issue Date

08/14/2001

Effective Date

08/14/2001

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

03/20/2007