THEODORE E SHAUGER Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070567

License Status

CANCELLED

Business

First Name

THEODORE E

Last Name

SHAUGER

Business Name

THEODORE E SHAUGER

Original Issue Date

01/12/1979

Effective Date

01/12/1979

Expiration Date

01/01/1997

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005