RAPHAEL A SHAW - Pharmacist License in Illinois | # 049252100

RAPHAEL A SHAW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252100

License Status

NOT RENEWED

Business

N

First Name

RAPHAEL

Middle

A

Last Name

SHAW

Business Name

RAPHAEL A SHAW

Original Issue Date

08/01/2017

Effective Date

03/27/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019