DEBRA K SHAMPINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089348

License Status

NOT RENEWED

Business

First Name

DEBRA K

Last Name

SHAMPINE

Business Name

DEBRA K SHAMPINE

Original Issue Date

03/24/1989

Effective Date

08/08/2007

Expiration Date

03/31/2008

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008