SHANTEZ C BASKIN - Pharmacist License in Illinois | # 049234314

SHANTEZ C BASKIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234314

License Status

NOT RENEWED

Business

N

First Name

SHANTEZ

Middle

C

Last Name

BASKIN

Business Name

SHANTEZ C BASKIN

Original Issue Date

07/08/2015

Effective Date

07/08/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016