SHANNON DIANE HENNINGSEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286939

License Status

INACTIVE

Business

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

City

SANTA ANA

State

Zip

92705

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

01/04/2020