NATASHA L SHEPPARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167098

License Status

NOT RENEWED

Business

First Name

NATASHA

Middle

Last Name

SHEPPARD

Business Name

NATASHA L SHEPPARD

Original Issue Date

03/29/2006

Effective Date

03/29/2006

Expiration Date

03/31/2007

City

NEW BERLIN

State

Zip

62670

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007