SHANNON MICHELE CLAUSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118360

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

MICHELE

Last Name

CLAUSEN

Business Name

SHANNON MICHELE CLAUSEN

Original Issue Date

08/01/1997

Effective Date

08/01/1997

Expiration Date

03/31/1998

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005