ELLEN ANNA SHEPHERD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163239

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

ANNA

Last Name

SHEPHERD

Business Name

ELLEN ANNA SHEPHERD

Original Issue Date

08/25/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/14/2007