SHANNON LEIGH BRISTOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181838

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

LEIGH

Last Name

BRISTOL

Business Name

SHANNON LEIGH BRISTOL

Original Issue Date

01/30/2008

Effective Date

03/04/2015

Expiration Date

03/31/2016

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/20/2016