SHANNON L FASIG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159960

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

FASIG

Business Name

SHANNON L FASIG

Original Issue Date

04/07/2005

Effective Date

04/07/2005

Expiration Date

03/31/2006

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006