Gennine M Shaw
ExpiredIllinois license 049079158
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049079158
- Status
- Expired (Not Renewed)
- First issued
- November 3, 1983
- Expired
- March 31, 2012
- License holder
- Gennine M Shaw
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 08/01/2011
Contact
Decatur, IL 62521
Macon County