MICHAEL VERNON SHANLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129537

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

VERNON

Last Name

SHANLE

Business Name

MICHAEL VERNON SHANLE

Original Issue Date

02/24/2000

Effective Date

02/24/2000

Expiration Date

03/31/2002

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/06/2005