SHAWN R BONVILLAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170629

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

Last Name

BONVILLAIN

Business Name

SHAWN R BONVILLAIN

Original Issue Date

08/15/2006

Effective Date

03/01/2010

Expiration Date

03/31/2011

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/12/2011