SHELLEY ALEXIS FUNK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073120

License Status

NOT RENEWED

Business

First Name

SHELLEY ALEXIS

Last Name

FUNK

Business Name

SHELLEY ALEXIS FUNK

Original Issue Date

06/23/1980

Effective Date

06/23/1980

Expiration Date

03/31/1982

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005