DORELLE L SHAW - Pharmacist License in Illinois | # 049191980

DORELLE L SHAW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191980

License Status

NOT RENEWED

Business

N

First Name

DORELLE

Middle

L

Last Name

SHAW

Prefix

MR

Business Name

DORELLE L SHAW

Original Issue Date

05/28/2009

Effective Date

05/28/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010