AMANDA L SHAW - Pharmacist License in Illinois | # 049139409

AMANDA L SHAW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139409

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

L

Last Name

SHAW

Business Name

AMANDA L SHAW

Original Issue Date

11/29/2001

Effective Date

11/29/2001

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005