SHANAE WILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187136

License Status

NOT RENEWED

Business

First Name

SHANAE

Last Name

WILLIS

Business Name

SHANAE WILLIS

Original Issue Date

09/18/2008

Effective Date

03/13/2009

Expiration Date

03/31/2010

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010