EDWARD SHUPENUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082218

License Status

NOT RENEWED

Business

First Name

EDWARD

Last Name

SHUPENUS

Business Name

EDWARD SHUPENUS

Original Issue Date

02/21/1986

Effective Date

02/21/1986

Expiration Date

03/31/1991

City

WINCHESTER

State

Zip

62694

County

SCOTT

Ever Disciplined

LastModifiedDate

10/17/2005