KATHY JEAN SHANNON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057919

License Status

NOT RENEWED

Business

First Name

KATHY JEAN

Last Name

SHANNON

Business Name

KATHY JEAN SHANNON

Original Issue Date

06/17/1972

Effective Date

06/17/1972

Expiration Date

01/01/1997

City

ANTIOCH

State

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005