LAQUETIA J SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190459

License Status

NOT RENEWED

Business

First Name

LAQUETIA

Middle

Last Name

SHAW

Business Name

LAQUETIA J SHAW

Original Issue Date

03/24/2009

Effective Date

03/10/2010

Expiration Date

03/31/2011

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/12/2011