IMOGENE G SHEPHERD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051017171

License Status

NOT RENEWED

Business

First Name

IMOGENE G

Last Name

SHEPHERD

Business Name

IMOGENE G SHEPHERD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005