SHANA C LEE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130802

License Status

NOT RENEWED

Business

First Name

SHANA

Middle

Last Name

LEE

Business Name

SHANA C LEE

Original Issue Date

05/10/2000

Effective Date

05/10/2000

Expiration Date

03/31/2001

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005