SHANDA J MARICLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173168

License Status

NOT RENEWED

Business

First Name

SHANDA

Middle

Last Name

MARICLE

Business Name

SHANDA J MARICLE

Original Issue Date

12/14/2006

Effective Date

12/14/2006

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007