TRAVIS D SHIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265843

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

SHIELDS

Business Name

TRAVIS D SHIELDS

Original Issue Date

06/05/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021