SHANNON NICOLE WITTENBORN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119231

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

NICOLE

Last Name

WITTENBORN

Business Name

SHANNON NICOLE WITTENBORN

Original Issue Date

10/30/1997

Effective Date

10/30/1997

Expiration Date

03/31/2000

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/21/2005