SHANE T STACHURA - Pharmacist License in Illinois | # 049153521

SHANE T STACHURA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153521

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

T

Last Name

STACHURA

Business Name

SHANE T STACHURA

Original Issue Date

03/09/2004

Effective Date

03/09/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005