ALEXSEY V SHUB Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157468

License Status

INACTIVE

Business

First Name

ALEXSEY

Middle

Last Name

SHUB

Business Name

ALEXSEY V SHUB

Original Issue Date

10/15/2004

Effective Date

02/19/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

01/05/2011