JENNIFER M SHIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149776

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

SHIELDS

Business Name

JENNIFER M SHIELDS

Original Issue Date

08/12/2003

Effective Date

08/12/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005