LOLA J SHASHACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102551

License Status

NOT RENEWED

Business

First Name

LOLA J

Last Name

SHASHACK

Business Name

LOLA J SHASHACK

Original Issue Date

03/01/1993

Effective Date

03/01/1993

Expiration Date

03/31/1997

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005