SHANAE N PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181238

License Status

NOT RENEWED

Business

First Name

SHANAE

Middle

Last Name

PAYNE

Business Name

SHANAE N PAYNE

Original Issue Date

12/20/2007

Effective Date

12/20/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008