SHANE ANDREW SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260265

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

ANDREW

Last Name

SMITH

Business Name

SHANE ANDREW SMITH

Original Issue Date

09/28/2018

Effective Date

09/28/2018

Expiration Date

03/31/2019

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019