GEORGIANNE SHIPMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145133

License Status

NOT RENEWED

Business

First Name

GEORGIANNE

Last Name

SHIPMAN

Business Name

GEORGIANNE SHIPMAN

Original Issue Date

10/08/2002

Effective Date

10/08/2002

Expiration Date

03/31/2004

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/20/2005