SHANELL DIANA PIGRAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264232

License Status

NOT RENEWED

Business

First Name

SHANELL

Middle

DIANA

Last Name

PIGRAM

Business Name

SHANELL DIANA PIGRAM

Original Issue Date

04/09/2019

Effective Date

04/09/2019

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021