JEAN K SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092691

License Status

NOT RENEWED

Business

First Name

JEAN K

Last Name

SHAW

Business Name

JEAN K SHAW

Original Issue Date

03/31/1990

Effective Date

03/31/1990

Expiration Date

03/31/2001

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005