EDNA ANNETTE SHIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052197

License Status

NOT RENEWED

Business

First Name

EDNA ANNETTE

Last Name

SHIELDS

Business Name

EDNA ANNETTE SHIELDS

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005