LA SHON SHORTY - Pharmacist License in Illinois | # 049144256

LA SHON SHORTY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144256

License Status

NOT RENEWED

Business

N

First Name

LA SHON

Last Name

SHORTY

Business Name

LA SHON SHORTY

Original Issue Date

08/21/2002

Effective Date

08/21/2002

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005