SHAWN ERIC RUNDBLADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125895

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

ERIC

Last Name

RUNDBLADE

Business Name

SHAWN ERIC RUNDBLADE

Original Issue Date

05/13/1999

Effective Date

05/13/1999

Expiration Date

03/31/2001

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005