MIKE SHORTNESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206498

License Status

NOT RENEWED

Business

First Name

MIKE

Last Name

SHORTNESS

Prefix

Business Name

MIKE SHORTNESS

Original Issue Date

09/07/2011

Effective Date

09/07/2011

Expiration Date

03/31/2012

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

05/07/2012