SHAVON A CLAYBROOKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203156

License Status

NOT RENEWED

Business

First Name

SHAVON

Middle

Last Name

CLAYBROOKS

Prefix

Business Name

SHAVON A CLAYBROOKS

Original Issue Date

03/14/2011

Effective Date

03/14/2011

Expiration Date

03/31/2012

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012