TIMOTHY C SHACKELTON - Pharmacist License in Illinois | # 049142079

TIMOTHY C SHACKELTON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142079

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

C

Last Name

SHACKELTON

Business Name

TIMOTHY C SHACKELTON

Original Issue Date

05/02/2002

Effective Date

01/19/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022