SHASHI P MISHRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126034

License Status

NOT RENEWED

Business

First Name

SHASHI

Middle

Last Name

MISHRA

Business Name

SHASHI P MISHRA

Original Issue Date

05/24/1999

Effective Date

05/24/1999

Expiration Date

03/31/2002

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/06/2005