SHELLY R FANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081785

License Status

NOT RENEWED

Business

First Name

SHELLY R

Last Name

FANN

Business Name

SHELLY R FANN

Original Issue Date

10/21/1985

Effective Date

10/21/1985

Expiration Date

03/31/1987

City

MARSHALL

State

Zip

62441

County

CLARK

Ever Disciplined

LastModifiedDate

10/17/2005