Fanchone J Shaw
ExpiredIllinois license 049214639
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049214639
- Status
- Expired (Not Renewed)
- First issued
- November 20, 2012
- Expired
- September 30, 2020
- License holder
- Fanchone J Shaw
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/05/2019
Contact
Plainfield, IL 60586
Cook County