SHADAE RENEE WILEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181669

License Status

NOT RENEWED

Business

First Name

SHADAE

Middle

RENEE

Last Name

WILEY

Business Name

SHADAE RENEE WILEY

Original Issue Date

01/22/2008

Effective Date

03/31/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010