FANCHONE J SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214639

License Status

NOT RENEWED

Business

First Name

FANCHONE

Middle

Last Name

SHAW

Business Name

FANCHONE J SHAW

Original Issue Date

11/20/2012

Effective Date

04/05/2019

Expiration Date

09/30/2020

City

PLAINFIELD

State

Zip

60586

County

COOK

Ever Disciplined

LastModifiedDate

10/07/2022