SHANTA SHACOLN WHITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175390

License Status

NOT RENEWED

Business

First Name

SHANTA

Middle

SHACOLN

Last Name

WHITE

Business Name

SHANTA SHACOLN WHITE

Original Issue Date

04/05/2007

Effective Date

04/05/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008