JACK SHELTON JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137884

License Status

NOT RENEWED

Business

First Name

JACK

Last Name

SHELTON

Suffix

Business Name

JACK SHELTON JR

Original Issue Date

08/30/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/14/2007