SHANE NICHOLAS MUELLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124564

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

NICHOLAS

Last Name

MUELLER

Business Name

SHANE NICHOLAS MUELLER

Original Issue Date

01/28/1999

Effective Date

01/28/1999

Expiration Date

03/31/2000

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005