MICHAEL A SHORT Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073049

License Status

CANCELLED

Business

First Name

MICHAEL A

Last Name

SHORT

Business Name

MICHAEL A SHORT

Original Issue Date

05/30/1980

Effective Date

05/30/1980

Expiration Date

03/31/1982

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005