MANDY JENE SHORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142059

License Status

NOT RENEWED

Business

First Name

MANDY

Middle

JENE

Last Name

SHORT

Business Name

MANDY JENE SHORT

Original Issue Date

04/30/2002

Effective Date

04/30/2002

Expiration Date

03/31/2006

City

JOLIET

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006