SHANTAVIA BERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248160

License Status

NOT RENEWED

Business

First Name

SHANTAVIA

Last Name

BERRY

Business Name

SHANTAVIA BERRY

Original Issue Date

01/31/2017

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019