SHANNON MICHELE BORUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128947

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

MICHELE

Last Name

BORUM

Business Name

SHANNON MICHELE BORUM

Original Issue Date

01/14/2000

Effective Date

01/14/2000

Expiration Date

03/31/2003

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/20/2005