SHANARDIA L SOUTHWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232088

License Status

NOT RENEWED

Business

First Name

SHANARDIA

Middle

Last Name

SOUTHWORTH

Business Name

SHANARDIA L SOUTHWORTH

Original Issue Date

04/01/2015

Effective Date

04/01/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016