SHELLY CLEM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255642

License Status

NOT RENEWED

Business

First Name

SHELLY

Last Name

CLEM

Business Name

SHELLY CLEM

Original Issue Date

01/19/2018

Effective Date

01/19/2018

Expiration Date

03/31/2019

City

NEW PLYMOUTH

State

Zip

83655

Ever Disciplined

LastModifiedDate

07/15/2019