SHANE R WOLBER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177464

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

Last Name

WOLBER

Business Name

SHANE R WOLBER

Original Issue Date

07/02/2007

Effective Date

02/24/2011

Expiration Date

03/31/2012

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/07/2012