SHANNON SHANICE WALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104660

License Status

NOT RENEWED

Business

First Name

SHANNON SHANICE

Last Name

WALL

Business Name

SHANNON SHANICE WALL

Original Issue Date

09/29/1993

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/14/2007