MICHELLE SHANTE PENN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140343

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

SHANTE

Last Name

PENN

Business Name

MICHELLE SHANTE PENN

Original Issue Date

01/22/2002

Effective Date

01/22/2002

Expiration Date

03/31/2003

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005