IEANIS L SHAW - Pharmacist License in Illinois | # 049141918

IEANIS L SHAW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141918

License Status

NOT RENEWED

Business

N

First Name

IEANIS

Middle

L

Last Name

SHAW

Business Name

IEANIS L SHAW

Original Issue Date

04/17/2002

Effective Date

04/17/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005