SHANLEY L MOULESONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156585

License Status

NOT RENEWED

Business

First Name

SHANLEY

Middle

Last Name

MOULESONG

Business Name

SHANLEY L MOULESONG

Original Issue Date

08/12/2004

Effective Date

08/12/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005