HOLLYN KIMBERLY SHACKELFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143892

License Status

NOT RENEWED

Business

First Name

HOLLYN

Middle

KIMBERLY

Last Name

SHACKELFORD

Business Name

HOLLYN KIMBERLY SHACKELFORD

Original Issue Date

07/29/2002

Effective Date

07/29/2002

Expiration Date

03/31/2003

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005