EMILY JANE SHATTUCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152750

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

JANE

Last Name

SHATTUCK

Business Name

EMILY JANE SHATTUCK

Original Issue Date

01/02/2004

Effective Date

01/02/2004

Expiration Date

03/31/2005

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/20/2005