BRENDA L SHIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108444

License Status

NOT RENEWED

Business

First Name

BRENDA L

Last Name

SHIELDS

Business Name

BRENDA L SHIELDS

Original Issue Date

10/13/1994

Effective Date

10/13/1994

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005