SHANNON D ELIZALDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222342

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

ELIZALDE

Prefix

Business Name

SHANNON D ELIZALDE

Original Issue Date

12/04/2013

Effective Date

04/02/2014

Expiration Date

03/31/2015

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015