T'ASIA SHAVELLE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247652

License Status

NOT RENEWED

Business

First Name

T'ASIA

Middle

SHAVELLE

Last Name

ANDERSON

Business Name

T'ASIA SHAVELLE ANDERSON

Original Issue Date

01/09/2017

Effective Date

01/09/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018