SHANTELLE RENEE HARRIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175337

License Status

NOT RENEWED

Business

First Name

SHANTELLE

Middle

RENEE

Last Name

HARRIS

Business Name

SHANTELLE RENEE HARRIS

Original Issue Date

04/04/2007

Effective Date

03/08/2010

Expiration Date

03/31/2011

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011