SHELLY R WENZEL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179637

License Status

INACTIVE

Business

First Name

SHELLY

Middle

Last Name

WENZEL

Business Name

SHELLY R WENZEL

Original Issue Date

10/01/2007

Effective Date

10/01/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/10/2008