SHANNON C PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174861

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

PAYNE

Business Name

SHANNON C PAYNE

Original Issue Date

03/14/2007

Effective Date

03/14/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008