SHIRLEY ANN FLATH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063918

License Status

NOT RENEWED

Business

First Name

SHIRLEY ANN

Last Name

FLATH

Business Name

SHIRLEY ANN FLATH

Original Issue Date

07/18/1975

Effective Date

07/18/1975

Expiration Date

03/31/1984

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005