KERI ELAINE SHAFER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125831

License Status

NOT RENEWED

Business

First Name

KERI

Middle

ELAINE

Last Name

SHAFER

Business Name

KERI ELAINE SHAFER

Original Issue Date

05/10/1999

Effective Date

05/10/1999

Expiration Date

03/31/2000

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005