SHELEA NICOLE LACKLAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150073

License Status

NOT RENEWED

Business

First Name

SHELEA

Middle

NICOLE

Last Name

LACKLAND

Business Name

SHELEA NICOLE LACKLAND

Original Issue Date

08/20/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007