BETH A SHORMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171649

License Status

NOT RENEWED

Business

First Name

BETH

Middle

Last Name

SHORMAN

Business Name

BETH A SHORMAN

Original Issue Date

09/26/2006

Effective Date

03/11/2016

Expiration Date

03/31/2017

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017