MARVA J SHACKELFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183632

License Status

NOT RENEWED

Business

First Name

MARVA

Middle

Last Name

SHACKELFORD

Business Name

MARVA J SHACKELFORD

Original Issue Date

04/16/2008

Effective Date

04/16/2008

Expiration Date

03/31/2009

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009