SHANNON MICHAEL PACE - Pharmacist License in Wisconsin | # 049179632

SHANNON MICHAEL PACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179632

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

MICHAEL

Last Name

PACE

Business Name

SHANNON MICHAEL PACE

Original Issue Date

10/01/2007

Effective Date

03/08/2012

Expiration Date

03/31/2013

State

WI

Ever Disciplined

N

LastModifiedDate

05/06/2013