SHALLISE D SHANNON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143073

License Status

NOT RENEWED

Business

First Name

SHALLISE

Middle

Last Name

SHANNON

Business Name

SHALLISE D SHANNON

Original Issue Date

06/10/2002

Effective Date

06/10/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005