SHANDELL M RUCKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157888

License Status

NOT RENEWED

Business

First Name

SHANDELL

Middle

Last Name

RUCKER

Business Name

SHANDELL M RUCKER

Original Issue Date

11/16/2004

Effective Date

10/26/2015

Expiration Date

03/31/2016

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/20/2016