SHANTA SHACOLN WHITE - Pharmacist License in Illinois | # 049175390

SHANTA SHACOLN WHITE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175390

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008