SHABOTONAY K RIDGEWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146065

License Status

NOT RENEWED

Business

First Name

SHABOTONAY

Middle

Last Name

RIDGEWAY

Business Name

SHABOTONAY K RIDGEWAY

Original Issue Date

11/22/2002

Effective Date

11/22/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005