SHELLY L VALLEJO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170015

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

Last Name

VALLEJO

Business Name

SHELLY L VALLEJO

Original Issue Date

07/14/2006

Effective Date

02/19/2010

Expiration Date

03/31/2011

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011