SHELLY M HALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127890

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

Last Name

HALL

Business Name

SHELLY M HALL

Original Issue Date

10/13/1999

Effective Date

10/13/1999

Expiration Date

03/31/2001

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005