SHIRE BLACKTOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263505

License Status

NOT RENEWED

Business

First Name

SHIRE

Last Name

BLACKTOM

Business Name

SHIRE BLACKTOM

Original Issue Date

02/20/2019

Effective Date

02/20/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021