GEORGE KENNETH SHOTICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140985

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

KENNETH

Last Name

SHOTICK

Business Name

GEORGE KENNETH SHOTICK

Original Issue Date

02/25/2002

Effective Date

01/14/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010