IEANIS L SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141918

License Status

NOT RENEWED

Business

First Name

IEANIS

Middle

Last Name

SHAW

Business Name

IEANIS L SHAW

Original Issue Date

04/17/2002

Effective Date

04/17/2002

Expiration Date

03/31/2003

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005