MARK LEE SHAW Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035511

License Status

ACTIVE

Business

First Name

MARK LEE

Last Name

SHAW

Business Name

MARK LEE SHAW

Original Issue Date

10/03/1984

Effective Date

04/08/2024

Expiration Date

03/31/2026

City

LAKE FOREST

State

Zip

60045

Ever Disciplined

LastModifiedDate

01/30/2026