SHAUNTAI DENISE SIMMONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176206

License Status

NOT RENEWED

Business

First Name

SHAUNTAI

Middle

DENISE

Last Name

SIMMONS

Business Name

SHAUNTAI DENISE SIMMONS

Original Issue Date

05/08/2007

Effective Date

04/19/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013