THERESA SHAWNTEL BERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154973

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

SHAWNTEL

Last Name

BERRY

Business Name

THERESA SHAWNTEL BERRY

Original Issue Date

06/11/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007