KEONA SHANTA MATTHEWS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195087

License Status

NOT RENEWED

Business

First Name

KEONA

Middle

SHANTA

Last Name

MATTHEWS

Business Name

KEONA SHANTA MATTHEWS

Original Issue Date

10/29/2009

Effective Date

03/04/2011

Expiration Date

03/31/2012

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

08/30/2012

Case Number

2011007121

Action

Suspension

Discipline Start Date

10/15/2011

Discipline End Date

08/29/2012

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 08/30/2012.