SHELLY GEAN TATE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174201

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

GEAN

Last Name

TATE

Business Name

SHELLY GEAN TATE

Original Issue Date

02/07/2007

Effective Date

03/05/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016