GENESIS ANN SHEPARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256628

License Status

NOT RENEWED

Business

First Name

GENESIS

Middle

ANN

Last Name

SHEPARD

Business Name

GENESIS ANN SHEPARD

Original Issue Date

03/12/2018

Effective Date

03/12/2018

Expiration Date

03/31/2019

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019