SHIRLEY C BANAAG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149119

License Status

INACTIVE

Business

First Name

SHIRLEY

Middle

Last Name

BANAAG

Business Name

SHIRLEY C BANAAG

Original Issue Date

06/23/2003

Effective Date

03/12/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2010