KRYSTLE D SHADD - Pharmacist License in Illinois | # 049164833

KRYSTLE D SHADD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164833

License Status

NOT RENEWED

Business

N

First Name

KRYSTLE

Middle

D

Last Name

SHADD

Business Name

KRYSTLE D SHADD

Original Issue Date

11/08/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009