SHANNON S GERGEN - Pharmacist License in Illinois | # 049129461

SHANNON S GERGEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129461

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

S

Last Name

GERGEN

Business Name

SHANNON S GERGEN

Original Issue Date

02/22/2000

Effective Date

02/22/2000

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005