DIANNA RENEE SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171471

License Status

NOT RENEWED

Business

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

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011