KENNICE L SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179118

License Status

NOT RENEWED

Business

First Name

KENNICE

Middle

Last Name

SHAW

Business Name

KENNICE L SHAW

Original Issue Date

09/10/2007

Effective Date

03/06/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013