PATRICK MICHAEL SHANNON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155731

License Status

INACTIVE

Business

First Name

PATRICK

Middle

MICHAEL

Last Name

SHANNON

Business Name

PATRICK MICHAEL SHANNON

Original Issue Date

06/24/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/10/2008