MICHAEL SCOTT SHADLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144577

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

SCOTT

Last Name

SHADLE

Business Name

MICHAEL SCOTT SHADLE

Original Issue Date

09/09/2002

Effective Date

09/09/2002

Expiration Date

03/31/2006

City

MONTGOMERY

State

Zip

60538

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2006