SHELLY MACK EDMONDSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066902

License Status

NOT RENEWED

Business

First Name

SHELLY MACK

Last Name

EDMONDSON

Business Name

SHELLY MACK EDMONDSON

Original Issue Date

03/11/1977

Effective Date

03/11/1977

Expiration Date

03/31/1996

City

DOLTON

State

Zip

60419

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005