SHANNON L SMITH - Pharmacist License in Wisconsin | # 049146314

SHANNON L SMITH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146314

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

L

Last Name

SMITH

Business Name

SHANNON L SMITH

Original Issue Date

12/11/2002

Effective Date

12/11/2002

Expiration Date

03/31/2006

State

WI

Ever Disciplined

N

LastModifiedDate

05/11/2006