SHELLY JEAN SPARKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109530

License Status

NOT RENEWED

Business

First Name

SHELLY JEAN

Last Name

SPARKS

Business Name

SHELLY JEAN SPARKS

Original Issue Date

02/15/1995

Effective Date

02/15/1995

Expiration Date

03/31/2001

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005