JEVON M SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167875

License Status

NOT RENEWED

Business

First Name

JEVON

Middle

Last Name

SHAW

Business Name

JEVON M SHAW

Original Issue Date

04/17/2006

Effective Date

03/23/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010