KELLY S SHANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201357

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

SHANE

Business Name

KELLY S SHANE

Original Issue Date

11/01/2010

Effective Date

11/01/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011