GENESIS ANN SHEPARD - Pharmacist License in Illinois | # 049256628

GENESIS ANN SHEPARD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256628

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019