SPENCER J SHANKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139550

License Status

NOT RENEWED

Business

First Name

SPENCER

Middle

Last Name

SHANKS

Business Name

SPENCER J SHANKS

Original Issue Date

12/10/2001

Effective Date

12/10/2001

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61126

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2007