SHANNON ELISE URBAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149885

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

ELISE

Last Name

URBAN

Business Name

SHANNON ELISE URBAN

Original Issue Date

08/19/2003

Effective Date

03/01/2010

Expiration Date

03/31/2011

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011