BETH A SHEPARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143982

License Status

NOT RENEWED

Business

First Name

BETH

Middle

Last Name

SHEPARD

Business Name

BETH A SHEPARD

Original Issue Date

08/02/2002

Effective Date

08/02/2002

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006