SHANE ALLYN BAYSTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119294

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

ALLYN

Last Name

BAYSTON

Business Name

SHANE ALLYN BAYSTON

Original Issue Date

11/06/1997

Effective Date

11/06/1997

Expiration Date

03/31/1999

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/17/2005