MORTON DEAN SHAW Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051295488

License Status

INACTIVE

Business

First Name

MORTON

Middle

DEAN

Last Name

SHAW

Business Name

MORTON DEAN SHAW

Original Issue Date

11/29/2011

Effective Date

01/16/2020

Expiration Date

07/31/2022

City

OAKLAND GARDENS

State

Zip

11364

County

NEW YORK

Ever Disciplined

LastModifiedDate

02/25/2022