SHANTAE E MACON Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154586

License Status

ACTIVE

Business

First Name

SHANTAE

Middle

Last Name

MACON

Business Name

SHANTAE E MACON

Original Issue Date

05/26/2004

Effective Date

03/18/2026

Expiration Date

03/31/2027

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

03/18/2026