SHANNON P BUBAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142647

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

BUBAN

Business Name

SHANNON P BUBAN

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

03/31/2004

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005