SHANE M MCCOY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136230

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

Last Name

MCCOY

Business Name

SHANE M MCCOY

Original Issue Date

05/07/2001

Effective Date

05/07/2001

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005