RAPHAEL A SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252100

License Status

NOT RENEWED

Business

First Name

RAPHAEL

Middle

Last Name

SHAW

Business Name

RAPHAEL A SHAW

Original Issue Date

08/01/2017

Effective Date

03/27/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019