GENNINE M SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079158

License Status

NOT RENEWED

Business

First Name

GENNINE M

Last Name

SHAW

Business Name

GENNINE M SHAW

Original Issue Date

11/03/1983

Effective Date

08/01/2011

Expiration Date

03/31/2012

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/07/2012