SHANTEZ C BASKIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234314

License Status

NOT RENEWED

Business

First Name

SHANTEZ

Middle

Last Name

BASKIN

Business Name

SHANTEZ C BASKIN

Original Issue Date

07/08/2015

Effective Date

07/08/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016