MICHAEL SHANE PRASUN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120892

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

SHANE

Last Name

PRASUN

Business Name

MICHAEL SHANE PRASUN

Original Issue Date

05/04/1998

Effective Date

05/04/1998

Expiration Date

03/31/1999

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005