SHIRLEY FAIRGRIEVE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108419

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Last Name

FAIRGRIEVE

Business Name

SHIRLEY FAIRGRIEVE

Original Issue Date

10/07/1994

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007