TODD JACOB SHEA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234637

License Status

NOT RENEWED

Business

First Name

TODD

Middle

JACOB

Last Name

SHEA

Business Name

TODD JACOB SHEA

Original Issue Date

07/21/2015

Effective Date

02/13/2019

Expiration Date

09/30/2020

City

PEORIA HEIGHTS

State

Zip

61616

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/08/2021