CONNIE R SHAFER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158498

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

SHAFER

Business Name

CONNIE R SHAFER

Original Issue Date

12/21/2004

Effective Date

03/26/2015

Expiration Date

03/31/2016

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

05/20/2016