ORMACINDA R SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159892

License Status

NOT RENEWED

Business

First Name

ORMACINDA

Middle

Last Name

SHAW

Business Name

ORMACINDA R SHAW

Original Issue Date

04/05/2005

Effective Date

03/03/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012