MARK LEE SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078411

License Status

NOT RENEWED

Business

First Name

MARK LEE

Last Name

SHAW

Business Name

MARK LEE SHAW

Original Issue Date

06/03/1983

Effective Date

06/03/1983

Expiration Date

03/31/1984

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/17/2005