SHANA D TRAVOUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165807

License Status

NOT RENEWED

Business

First Name

SHANA

Middle

Last Name

TRAVOUS

Business Name

SHANA D TRAVOUS

Original Issue Date

12/27/2005

Effective Date

03/11/2014

Expiration Date

03/31/2015

City

NEW BADEN

State

Zip

62265

County

CLINTON

Ever Disciplined

LastModifiedDate

05/11/2015