SHANNON JEAN FIELDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140587

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

JEAN

Last Name

FIELDER

Business Name

SHANNON JEAN FIELDER

Original Issue Date

02/07/2002

Effective Date

02/07/2002

Expiration Date

03/31/2004

City

SAUK VILLAGE

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005