SHANNON MARIE ROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099917

License Status

NOT RENEWED

Business

First Name

SHANNON MARIE

Last Name

ROSE

Business Name

SHANNON MARIE ROSE

Original Issue Date

04/17/1992

Effective Date

04/17/1992

Expiration Date

03/31/1994

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005