SHANNEN LEE AGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134970

License Status

NOT RENEWED

Business

First Name

SHANNEN

Middle

LEE

Last Name

AGAN

Business Name

SHANNEN LEE AGAN

Original Issue Date

03/07/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PLAINFIELD

State

Zip

60558

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/14/2007