SHANNON MICHELE BORUM - Pharmacist License in Illinois | # 049128947

SHANNON MICHELE BORUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128947

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005