SHELLEY L BOOTH - Pharmacist License in Illinois | # 049151929

SHELLEY L BOOTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151929

License Status

NOT RENEWED

Business

N

First Name

SHELLEY

Middle

L

Last Name

BOOTH

Business Name

SHELLEY L BOOTH

Original Issue Date

10/30/2003

Effective Date

10/30/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005