JACKIE L SHEPARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137743

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

Last Name

SHEPARD

Business Name

JACKIE L SHEPARD

Original Issue Date

08/14/2001

Effective Date

08/14/2001

Expiration Date

03/31/2003

City

NORRIS CITY

State

Zip

62869

County

WHITE

Ever Disciplined

LastModifiedDate

03/20/2007