SHANE MICHAEL PICHMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289207

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

MICHAEL

Last Name

PICHMAN

Business Name

SHANE MICHAEL PICHMAN

Original Issue Date

12/29/2021

Effective Date

12/29/2021

Expiration Date

05/31/2022

City

NEW LENOX

State

Zip

60451

County

ADAMS

Ever Disciplined

LastModifiedDate

07/27/2022