CHRISTINE THERESA SHOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164285

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

THERESA

Last Name

SHOCK

Business Name

CHRISTINE THERESA SHOCK

Original Issue Date

09/30/2005

Effective Date

09/30/2005

Expiration Date

03/31/2006

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006