EBONY SHANAE HUBBARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141164

License Status

NOT RENEWED

Business

First Name

EBONY

Middle

SHANAE

Last Name

HUBBARD

Business Name

EBONY SHANAE HUBBARD

Original Issue Date

03/05/2002

Effective Date

03/05/2002

Expiration Date

03/31/2003

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005