DOUGLAS W SHAFER Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064739

License Status

CANCELLED

Business

First Name

DOUGLAS W

Last Name

SHAFER

Business Name

DOUGLAS W SHAFER

Original Issue Date

01/16/1976

Effective Date

01/16/1976

Expiration Date

01/01/1997

City

HAVANA

State

Zip

62644

County

MASON

Ever Disciplined

LastModifiedDate

10/17/2005