SHANNON M STULL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164980

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

STULL

Business Name

SHANNON M STULL

Original Issue Date

11/14/2005

Effective Date

02/10/2011

Expiration Date

03/31/2012

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

05/07/2012