GEORGE WILLIAM SHANNON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155222

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

WILLIAM

Last Name

SHANNON

Business Name

GEORGE WILLIAM SHANNON

Original Issue Date

06/16/2004

Effective Date

07/15/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012