SHAWN WILLIAM BLAKEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185171

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

WILLIAM

Last Name

BLAKEMAN

Business Name

SHAWN WILLIAM BLAKEMAN

Original Issue Date

06/25/2008

Effective Date

04/17/2013

Expiration Date

03/31/2014

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/06/2014