SHANE M PECK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184801

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

Last Name

PECK

Business Name

SHANE M PECK

Original Issue Date

06/09/2008

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

05/20/2016