SHAUKE D MCKISSACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242611

License Status

NOT RENEWED

Business

First Name

SHAUKE

Middle

Last Name

MCKISSACK

Prefix

Business Name

SHAUKE D MCKISSACK

Original Issue Date

06/22/2016

Effective Date

01/30/2017

Expiration Date

03/31/2018

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/19/2018