CLARICE A SHACKELFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278370

License Status

NOT RENEWED

Business

First Name

CLARICE A

Last Name

SHACKELFORD

Business Name

CLARICE A SHACKELFORD

Original Issue Date

12/31/2020

Effective Date

01/28/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022