LAWRENCE MARCUS SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172182

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Middle

MARCUS

Last Name

SHAW

Business Name

LAWRENCE MARCUS SHAW

Original Issue Date

10/30/2006

Effective Date

03/03/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015