ALLEN LEE SHELLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164812

License Status

NOT RENEWED

Business

First Name

ALLEN

Middle

LEE

Last Name

SHELLEY

Business Name

ALLEN LEE SHELLEY

Original Issue Date

11/07/2005

Effective Date

02/26/2014

Expiration Date

03/31/2015

City

LOAMI

State

Zip

62661

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015