SAMANTHA ASHLEY SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169292

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ASHLEY

Last Name

SHAW

Business Name

SAMANTHA ASHLEY SHAW

Original Issue Date

06/13/2006

Effective Date

01/09/2009

Expiration Date

03/31/2010

City

BRAIDWOOD

State

Zip

60408

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010