CHARLES GRANT SHOCKEY JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062392

License Status

NOT RENEWED

Business

First Name

CHARLES GRANT

Last Name

SHOCKEY JR

Business Name

CHARLES GRANT SHOCKEY JR

Original Issue Date

10/11/1974

Effective Date

10/11/1974

Expiration Date

01/01/1997

City

CERRO GORDO

State

Zip

61818

County

PIATT

Ever Disciplined

LastModifiedDate

10/17/2005