VERONICA LYNN SHACKELFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152752

License Status

NOT RENEWED

Business

First Name

VERONICA

Middle

LYNN

Last Name

SHACKELFORD

Business Name

VERONICA LYNN SHACKELFORD

Original Issue Date

01/02/2004

Effective Date

01/02/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005