SHANTA M WILLIAMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129834

License Status

NOT RENEWED

Business

First Name

SHANTA

Middle

Last Name

WILLIAMS

Business Name

SHANTA M WILLIAMS

Original Issue Date

03/08/2000

Effective Date

03/08/2000

Expiration Date

03/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005