SHAQUILLE TYSHAWN POWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282834

License Status

NOT RENEWED

Business

First Name

SHAQUILLE

Middle

TYSHAWN

Last Name

POWELL

Business Name

SHAQUILLE TYSHAWN POWELL

Original Issue Date

06/04/2021

Effective Date

06/04/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022