SHANNON C TAYLAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158435

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

TAYLAN

Business Name

SHANNON C TAYLAN

Original Issue Date

12/17/2004

Effective Date

12/17/2004

Expiration Date

03/31/2006

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006