SHASTA ELAINE JONES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123067

License Status

NOT RENEWED

Business

First Name

SHASTA

Middle

ELAINE

Last Name

JONES

Business Name

SHASTA ELAINE JONES

Original Issue Date

10/05/1998

Effective Date

10/05/1998

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005