BRIAN SHOOKMAN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069054

License Status

CANCELLED

Business

First Name

BRIAN

Last Name

SHOOKMAN

Business Name

BRIAN SHOOKMAN

Original Issue Date

03/24/1978

Effective Date

03/24/1978

Expiration Date

03/31/1984

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005