CULLEN GREGORY SHIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116707

License Status

NOT RENEWED

Business

First Name

CULLEN

Middle

GREGORY

Last Name

SHIELDS

Business Name

CULLEN GREGORY SHIELDS

Original Issue Date

03/06/1997

Effective Date

03/06/1997

Expiration Date

03/31/1998

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

10/17/2005