PHYLLIS A SHURE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144324

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

SHURE

Business Name

PHYLLIS A SHURE

Original Issue Date

08/26/2002

Effective Date

08/26/2002

Expiration Date

03/31/2004

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005