LARRY JOHN SHUTACK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030746

License Status

INACTIVE

Business

First Name

LARRY JOHN

Last Name

SHUTACK

Business Name

LARRY JOHN SHUTACK

Original Issue Date

12/18/1975

Effective Date

12/18/1975

Expiration Date

03/31/1988

City

GILBERT

State

Zip

85234

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/10/2006