SHANNON M WAREHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120105

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

WAREHAM

Business Name

SHANNON M WAREHAM

Original Issue Date

02/23/1998

Effective Date

02/23/1998

Expiration Date

03/31/1999

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005