LAURIE A SHEPPARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101549

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

Last Name

SHEPPARD

Business Name

LAURIE A SHEPPARD

Original Issue Date

10/19/1992

Effective Date

10/19/1992

Expiration Date

03/31/1994

City

HEYWORTH

State

Zip

61745

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005