ANGELIA MARIE SHORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165059

License Status

NOT RENEWED

Business

First Name

ANGELIA

Middle

MARIE

Last Name

SHORT

Business Name

ANGELIA MARIE SHORT

Original Issue Date

11/17/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

NEW BADEN

State

Zip

62265

Ever Disciplined

LastModifiedDate

05/14/2007