FANCHONE J SHAW - Pharmacist License in Illinois | # 049214639

FANCHONE J SHAW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214639

License Status

NOT RENEWED

Business

N

First Name

FANCHONE

Middle

J

Last Name

SHAW

Business Name

FANCHONE J SHAW

Original Issue Date

11/20/2012

Effective Date

04/05/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

10/07/2022