SHANNON D ELIZALDE - Pharmacist License in Illinois | # 049222342

SHANNON D ELIZALDE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222342

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

D

Last Name

ELIZALDE

Prefix

MR

Business Name

SHANNON D ELIZALDE

Original Issue Date

12/04/2013

Effective Date

04/02/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015