OLIVIA ANN SHAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187232

License Status

NOT RENEWED

Business

First Name

OLIVIA

Middle

ANN

Last Name

SHAKE

Business Name

OLIVIA ANN SHAKE

Original Issue Date

09/23/2008

Effective Date

04/06/2010

Expiration Date

03/31/2011

City

ORION

State

Zip

61273

County

HENRY

Ever Disciplined

LastModifiedDate

05/12/2011