JARROD WAYNE SHASTEEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155781

License Status

NOT RENEWED

Business

First Name

JARROD

Middle

WAYNE

Last Name

SHASTEEN

Business Name

JARROD WAYNE SHASTEEN

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

03/31/2006

City

MACON

State

Zip

62544

County

MACON

Ever Disciplined

LastModifiedDate

05/11/2006