TIFFANY M SHANNON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144787

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

SHANNON

Business Name

TIFFANY M SHANNON

Original Issue Date

09/25/2002

Effective Date

09/25/2002

Expiration Date

03/31/2006

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006