SHANNON DIANE HENNINGSEN - Pharmacist License in California | # 051286939

SHANNON DIANE HENNINGSEN

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286939

License Status

INACTIVE

Business

N

First Name

SHANNON

Middle

DIANE

Last Name

HENNINGSEN

Business Name

SHANNON DIANE HENNINGSEN

Original Issue Date

12/03/1998

Effective Date

03/21/2018

Expiration Date

09/30/2020

State

CA

Ever Disciplined

N

LastModifiedDate

01/04/2020