BRAD MICHAEL SHOEMAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154114

License Status

NOT RENEWED

Business

First Name

BRAD

Middle

MICHAEL

Last Name

SHOEMAKER

Business Name

BRAD MICHAEL SHOEMAKER

Original Issue Date

04/19/2004

Effective Date

04/19/2004

Expiration Date

03/31/2005

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005