SHANNON DESARAE CARLISLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172077

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

DESARAE

Last Name

CARLISLE

Business Name

SHANNON DESARAE CARLISLE

Original Issue Date

10/25/2006

Effective Date

03/20/2014

Expiration Date

03/31/2015

City

EFFINGHAM

State

Zip

62401

Ever Disciplined

LastModifiedDate

05/11/2015