DIANNA RENEE SHAW - Pharmacist License in Illinois | # 049171471

DIANNA RENEE SHAW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171471

License Status

NOT RENEWED

Business

N

First Name

DIANNA

Middle

RENEE

Last Name

SHAW

Business Name

DIANNA RENEE SHAW

Original Issue Date

09/20/2006

Effective Date

01/12/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011