SHELLY R PESHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093825

License Status

NOT RENEWED

Business

First Name

SHELLY R

Last Name

PESHA

Business Name

SHELLY R PESHA

Original Issue Date

07/19/1990

Effective Date

07/19/1990

Expiration Date

03/31/1992

City

MANITO

State

Zip

61546

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005